Open Lung Approach During General Anaesthesia to Prevent Post-Operative Pulmonary Complications
NCT00426790 · Status: UNKNOWN · Phase: NA · Type: INTERVENTIONAL
Last updated 2007-01-25
Summary
The hypothesis of this study is that the "Open lung approach" ( recruitment and PEEP) during general anaesthesia reduces atelectasis formation and improves respiratory function in the immediate post-operative period after major abdominal surgery.
This is a prospective, randomized, controlled clinical-trial,performed in patients undergoing major abdominal surgery, to compare the effects on the post-operative pulmonary complications of two different intraoperative ventilatory strategies during general anaesthesia: 1- Control Group: PEEP 0 cmH2O without recruitment manoeuvre; 2- Treatment Group:recruitment manoeuvre (after intubation and before extubation) and PEEP 10 cmH2O In the post-operative period the following variables will be recorded at the first, third and fifth postoperative day: 1- Gas-exchange in air; 2- Chest X-ray for atelectasis evaluation; 3- signs of pulmonary complication (cough, secretions, dyspnea, thoracic pain)
Conditions
- Postoperative Complications
Interventions
- PROCEDURE
-
Positive end-expiratory pressure
Sponsors & Collaborators
-
Università degli Studi dell'Insubria
lead OTHER
Principal Investigators
-
Paolo Pelosi, Professor · University of Insubria, Varese, Italy
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
Countries
- Italy
Study Locations
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