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Идёт набор NCT06824506

Ultrasound for Postop Lung Issues in Low-Flow Anesthesia

— Наблюдательное Atelectasis, Postoperative Cholecystitis; Gallstone Pulmonary Atelectasis

Ориентир для пациента и семьи

Простыми словами

Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.

Что изучают
В протоколе указаны: No-intervention.
Кому может быть актуально
Состояния в реестре: Atelectasis, Postoperative, Cholecystitis; Gallstone, Pulmonary Atelectasis. Базовые параметры: от 18 лет · Все.
Что важно проверить
Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
Где проводится
Turkey (Türkiye)
Следующий шаг
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Официальное название

Evaluation of Early Postoperative Pulmonary Complications That Can be Detected by Ultrasonography in Patients Undergoing Laparoscopic Cholecystectomy With Low-flow Anesthesia

Обзор

Detecting possible atelectasis and other respiratory problems that may develop immediately after extubation via lung ultrasonography can reduce pulmonary complications by performing necessary interventions such as oxygen support, respiratory exercises, mobilization, and non-invasive mechanical ventilation applications at an early stage. In addition, although low-flow anesthesia is frequently used in daily anesthesia practice, publications showing the effects of its use in laparoscopic cholecystectomy operations on pulmonary complications are limited. On this occasion, this study can be presented as a contribution to the literature.

Подробное описание

Postoperative atelectasis is a common complication that can develop in all patients receiving general anesthesia. The frequency of atelectasis increases due to increased intraabdominal pressure, especially in laparoscopic surgeries performed with pneumoperitoneum. For this reason, in order to prevent postoperative complications related to the lungs, it is extremely important to recognize atelectasis at an early stage, as well as to recognize the mechanisms that will cause atelectasis and avoid them.

Lung ultrasonography (Lung USG) draws attention for the rapid, cheap, safe and reliable detection of postoperative atelectasis. The fact that it can be applied at the bedside and can be easily repeated makes this method valuable. In the literature and in daily practice, it is seen that anesthesiologists commonly apply inhalation anesthesia with different fresh gas flow (FGF) rates during general anesthesia.

As defined by Baker and Simionescu, in low-flow anesthesia, FGF varies between 0.5 and 1 liter per minute. It has been shown that all types of flow are safe with modern anesthesia machines.

This study aims to demonstrate the effect of low-flow anesthesia (LFA) on pulmonary complications and, in particular, atelectasis that may develop after laparoscopic cholecystectomy operations, using a non-invasive, rapidly applicable, and proven method such as Lung USG.

Вмешательства

  • Другое No-intervention
    No interventions will be performed by the research team.

Первичные конечные точки

  • incidence of postoperative atelectasis [Срок оценки: 1 hour peroperatively]
Вторичные конечные точки (1)
  • incidence of other postoperative pulmonary complications [Срок оценки: 1 hour peroperatively]

Критерии участия

Критерии включения

  • Patients with informed consent
  • Patients scheduled for laparoscopic cholecystectomy
  • Patients with a Body Mass Index between 18-35 kg/m²
  • Patients in the American Society of Anesthesiologist (ASA) 1-2-3 category

Критерии исключения

  • Patients with emergency surgery planned
  • Patients with ASA 4 and above
  • Patients with lung disease
  • Patients who have undergone thoracic surgery
  • Pregnancy
  • Patients with a preoperative Lung Ultrasound Score of 2 or 3 in any lung region

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Модель наблюдения
Другое

Центры проведения

Turkey (Türkiye) · 1 центр
  • Ankara Ataturk Sanatorium Research and Training Hospital — Ankara

Идентификаторы

NCT: NCT06824506 · SanatoryumEAH-AK-01

Первоисточники (государственные реестры)

Открыть это исследование на ClinicalTrials.gov ↗