Laparoscopic surgery PEEP titration Oxygen reserve index lung compliance positive end expiratory pressure lung compliance
Conditions
Interventions
1.
Recruitment maneuver
After the patient is placed in trendelenburg position and CO2
insufflation, measure the angle of inclination of the surgical bed relative to the floor level and all paramet
Experimental Procedure/Surgery
Recruitment maneuver and PEEP titration
Sponsors
Faculty of medicine, Chiangmai University
Eligibility
Sex/Gender
Female
Age
20 Years to 65 Years
Inclusion criteria
Inclusion criteria: 1. American Society of Anesthesiologists (ASA) physical status 1-2 2. Age of 20 to 65 years old 3. Body mass index (BMI) less than 30 kg/m2 4. Candidates for elective laparoscopic surgery under general anesthesia with an expected duration of > 2 hr
Exclusion criteria
Exclusion criteria: 1. Patients who refuse to provide informed consent or are participating in another interventional study 2. Severe cardiac disease defined as New York Heart Association grade III or IV 3. Previous lung surgery or history of pulmonary disease 4. Allergy to anesthetic agents 5. Emergency surgery 6. Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Correlation of ORI and static compliance (Cstat) at each PEEP level Oxygen reserve index and static compliance | — |
Secondary
| Measure | Time frame |
|---|---|
| Optimal PEEP of gynecologic laparoscopic surgery and ORI value at optimal PEEP guided by Cstat at level of best lung static compliance PEEP and oxygen reserve index | — |
Countries
Thailand
Contacts
Public ContactSuraphong Lorsomradee
Faculty of medicine, Chiangmai University
Outcome results
None listed