Does PEP Compensate the Reduction of Tidal Volume During One Lung Ventilation?
NCT00534690 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 88
Last updated 2026-05-15
Summary
During general anesthesia, airway closure and the formation of atelectasis impair oxygenation. During one-lung ventilation, large tidal volumes are used to resume atelectasis with a risk of regional over distension and Ventilator-Induced Lung Injury (VILI). The reduction in TV should reduce the occurrence of VILI but lead to a consistent alveolar derecruitment. This harmful effect may be counteracted by PEP. We, therefore, study the impact on oxygenation, of increasing PEP during OLV, in order to maintain alveolar recruitment when TV is reduced.
Conditions
- Lung Neoplasms
- Pulmonary Disease
Interventions
- PROCEDURE
-
One-Lung ventilation
Low Vt, High PEP
- PROCEDURE
-
One-Llung ventilation
High Vt, low PEP
Sponsors & Collaborators
-
University Hospital, Bordeaux
lead OTHER
Principal Investigators
-
Hadrien ROZE, Dr · University Hospital, Bordeaux
-
Paul PEREZ, Dr · University Hospital (USMR), Bordeaux
Study Design
- Allocation
- RANDOMIZED
- Purpose
- SUPPORTIVE_CARE
- Masking
- SINGLE
- Model
- CROSSOVER
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2007-11-30
- Primary Completion
- 2009-01-31
- Completion
- 2009-01-31
Countries
- France
Study Locations
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