Ignite Creation Date:
2024-05-06 @ 8:15 PM
Last Modification Date:
2024-10-26 @ 3:23 PM
Study NCT ID:
NCT06307704
Status:
RECRUITING
Last Update Posted:
2024-05-08
First Post:
2024-03-06
Brief Title:
Lung US for PEEP Optimization in Robotic Radical Prostatectomy or Cystectomy Patients
Sponsor:
Nazmy Edward Seif
Organization:
Cairo University
Study Overview
Official Title:
Intraoperative Bedside Lung-ultrasound Use to Optimize Positive End-expiratory Pressure for Elective Robotic-assisted Radical Prostatectomy or Cystectomy Patients a Randomized Controlled Trial
Status:
RECRUITING
Status Verified Date:
2024-05
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
There is an increasing trend in the use of robotic-assisted radical prostatectomy or cystectomy RARPC
Preventing lung atelectasis without inducing overdistention of the lung is challenging Many studies tried to optimize PEEP titration by using methods such as dead space fraction guided and static pulmonary compliance directed techniques or by using electrical impedance tomography However the use of these methods is limited by inaccuracy and the need for sophisticated devices
Bedside Lung ultrasound is fast easy and economic technique that is gaining interest in the operating room Ultrasound-guided PEEP titration has been used in bariatric surgeries different position and usually shorter procedure time and proved effective in improving oxygenation compliance and reducing the incidence of postoperative pulmonary atelectasis and hypoxia without causing hemodynamic instability
The aim of this study is to evaluate the effectiveness of intraoperative individualized lung ultrasound-guided stepwise PEEP optimization in patients undergoing RARPC on oxygenation intraoperative and early postoperative pulmonary complications
Preventing lung atelectasis without inducing overdistention of the lung is challenging Many studies tried to optimize PEEP titration by using methods such as dead space fraction guided and static pulmonary compliance directed techniques or by using electrical impedance tomography However the use of these methods is limited by inaccuracy and the need for sophisticated devices
Bedside Lung ultrasound is fast easy and economic technique that is gaining interest in the operating room Ultrasound-guided PEEP titration has been used in bariatric surgeries different position and usually shorter procedure time and proved effective in improving oxygenation compliance and reducing the incidence of postoperative pulmonary atelectasis and hypoxia without causing hemodynamic instability
The aim of this study is to evaluate the effectiveness of intraoperative individualized lung ultrasound-guided stepwise PEEP optimization in patients undergoing RARPC on oxygenation intraoperative and early postoperative pulmonary complications
Detailed Description:
None
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None