Optimal Positive End-Expiratory Pressure in Robotic-Assisted Thoracic Surgery Without Capnothorax
For patients and families
In plain language
An automatic summary of structured registry data. It is an orientation aid, not a substitute for the official protocol or a physician assessment.
- What is being studied
- This is an observational study: the protocol does not assign a study treatment.
- Who it may be relevant to
- Registry conditions: Robotic Thoracic Surgery, Mechanical Ventilation, Positive End Expiratory Pressure (PEEP). Basic parameters: from 18 years · All.
- What needs checking
- Age, condition and sex are only basic indicators. Prior treatment, laboratory values and other mandatory requirements appear in the eligibility criteria below.
- Where it takes place
- Spain
- Next step
- Save the trial, show it to the treating physician, and confirm current recruitment with the study center. Costs, documents and travel →
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Overview
The aim of this study is to assess the impact on lung mechanics during robotic lung resection when no capnothorax is used.
Detailed description
Assess the improvement of oxygenation, ventilation and lung mechanics in patients ventilated with individualized PEEP without capnothorax. PEEP requirement and lung mechanics without capnothorax will be compared with a historical cohort population of robotic surgery with capnothorax.
Primary outcome measures
- Respiratory airway pressures [Time frame: During intra-operative mechanical ventilation (4 hours)]
- Respiratory rate [Time frame: During intra-operative mechanical ventilation (4 hours)]
- Respiratory system compliance [Time frame: During intra-operative mechanical ventilation (4 hours)]
Secondary outcome measures (5)
- Arterial blood gas parameters: pO2 [Time frame: During intra-operative mechanical ventilation (4 hours)]
- Arterial blood gas parameters: pCO2 [Time frame: During intra-operative mechanical ventilation (4 hours)]
- Arterial blood gas parameters: pH [Time frame: During intra-operative mechanical ventilation (4 hours)]
- Arterial blood gas parameters: sodium bicarbonate [Time frame: During intra-operative mechanical ventilation (4 hours)]
- Arterial blood gas parameters: base excess [Time frame: During intra-operative mechanical ventilation (4 hours)]
Eligibility criteria
Inclusion criteria
- Patients undergoing uniportal robotic lung resection under no capnothorax
Exclusion criteria
- Refusal to participate
- Contraindications to recruitment maneuvers
Criteria are shown verbatim from the registry (in English). Final eligibility is always assessed by the study center.
Healthy volunteers: No
Study design
- Observational model
- Cohort
Study locations
Spain · 1 center
- Hospital Clinic Barcelona — Barcelona
Identifiers
NCT: NCT06784037 · HCB/2024/0103