Perioperative efficacy of alveolar recruitment maneuvers versus thoracic epidural analgesia as a prophylaxis against lung atelectasis in obese patient

Effects of Thoracic Epidural Analgesia in Combination With alveolar Recruitment Maneuver on lung expansion and gas exchange after Upper Abdominal Surgery in Obese Patients

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

PACTR

Registry ID

PACTR201806003340429

Enrollment

100

Registered

2018-04-21

Start date

2018-04-21

Completion date

Unknown

Last updated

2026-08-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Nutritional, Metabolic, Endocrine Respiratory Surgery lung atelectasis in obese patient

Interventions

Group 1: Recruitment maneuver combined with continuous thoracic epidural analgesia. (RM-TEA group):

Group 2: Recruitment maneuver alone (RM group)

Group 3: Thoracic Epidural analgesia (TEA)

Group 4: control group: neither RM nor TEA

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: Inclusion criteria: male and female patients with body mass index averaged between (35-45) kg/m2 and age average between (18- 45) years, ASA 1 and 2 patients, prepared to undergo upper abdominal

Exclusion criteria

Exclusion criteria: Exclusion criteria: pregnancy, cardiac diseases, history of ischemic heart disease and new York heart association (NYHA) class III or IV, per-existing pulmonary disease ,renal ,hepatic or neuro-muscular disease, smokers and any contraindications for regional anesthesia .

Design outcomes

Primary

Measure	Time frame
¿Visual Analogue Scale (VAS) pain scores ¿Respiratory rate (RR) ¿Arterial oxygen saturation (SaO2or spo2), and arterial blood gas (ABG) including arterial partial pressure of oxygen (PaO2), arterial partial pressure of carbon dioxide (PaCo2) and O2 index ¿Heart rate (HR) and Mean arterial blood pressure (MAP)	—

Secondary

Measure	Time frame
¿ Any complications of the techniques ¿ Chest x ray done for identification of degree of lung expansion ¿ Length of ICU stay (days) ¿ Length of hospital stay (days)	—

Countries

Egypt

Contacts

Public Contactsherif arafa

lecturer of anesthesia , icu .aswan university

sherifarafa1020@gmail.com01005714014

Outcome results

None listed

Source: PACTR (via WHO ICTRP) · Data processed: Aug 9, 2026