Feasibility of ETCO₂ Changes During Passive Leg Raise for Fluid Management in Lung Surgery
NCT06855966 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 53
Last updated 2025-03-04
Summary
Aim: End tidal carbondioxide pressure (EtCO2) is an indirect indicator of cardiac output (CO) which is monitored in every patient at perioperative setting. The investigators aimed to use increase of EtCO2 as a response to passive leg raising maneuver (PLR) to indicate fluid responsiveness in patients who underwent lung resection with video-assisted thoracoscopic surgery (VATS).
Conditions
Interventions
- OTHER
-
250 ml crystalloid bolus infusion
In thoracic surgical setting, restrictive fluid replacement is widely accepted. However, goal directed fluid therapies can provide a more precise and tailored fluid replacement for each patient. Although ERAS protocols emphasize otherwise, patients still arrive in the operating room with certain deficite, due to prolonged fasting or advanced age. PLR is used as a reversible fluid challenge since the blood which is pooled in the lower extremities as well as splancnic area. End tidal carbon dioxide is monitorized at each patient per American Society of Anesthesia Guideline. In this study, we aimed to assess the feasibility of end tidal carbondioxide changes as a response to passive leg raise maneuer (PLR) for preload optimization in thoracic surgical practice.
Sponsors & Collaborators
-
Istanbul University - Cerrahpasa
lead OTHER
Principal Investigators
-
Lale Yuceyar, Professor · Istanbul University - Cerrahpasa
Study Design
- Allocation
- RANDOMIZED
- Purpose
- DIAGNOSTIC
- Masking
- NONE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2020-08-04
- Primary Completion
- 2021-03-14
- Completion
- 2021-03-15
Countries
- Turkey (Türkiye)
Study Locations
More Related Trials
-
Evaluation of Perioperative Lung Ultrasound Scores in Laparoscopic Pediatric Surgeries
NCT06072885 ·Status: COMPLETED
-
Urine Bag Usage Versus Chest Drain Clamping After Lung Resection Surgeries
NCT05230420 ·Status: UNKNOWN ·Phase: NA
-
Effect of Bilateral vs. Unilateral Alveolar Recruitment on Gas Exchange in Lung Resection
NCT07044661 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Effects of Periodic Recruitment Maneuvers on Atelectasis and Respiratory Mechanics During Elective Spine Surgery Assessed by Lung Ultrasonography
NCT07325812 ·Status: RECRUITING ·Phase: NA
-
Effect of the Minimum Bronchial Cuff Volume of Left-sided Double-lumen Endotracheal Tube for One-lung Ventilation on the Change of the Bronchial Cuff Pressure During Lateral Positioning in Thoracic Surgery
NCT05222568 ·Status: COMPLETED
-
Is Preoperative Exercise Test in Morbid Obese Patients a Predictive Test for Extubation?
NCT02220959 ·Status: COMPLETED ·Phase: NA
-
To Determine the Effectiveness of Transesophageal Lung Ultrasound Guided Recruitment Maneuver in Cardiac Surgery
NCT06513702 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Optimal Positive End-Expiratory Pressure in Robotic-Assisted Thoracic Surgery
NCT06026670 ·Status: COMPLETED
-
Telerehabilitation in Lung Surgery Patients
NCT04568564 ·Status: COMPLETED ·Phase: NA
-
Effectiveness of Oscillation on Postoperative Pulmonary Complications After Elective Postcardiac Surgery
NCT06902220 ·Status: NOT_YET_RECRUITING ·Phase: NA
-
Prehabilitation for Patients Undergoing Lung Cancer Surgery
NCT06716437 ·Status: RECRUITING ·Phase: NA
-
Preoperative Treatment of Respiratory Physiotherapy in Lung Cancer
NCT05526482 ·Status: COMPLETED
-
A Prehabilitation Program to Boost Postoperative Functional Capacity in Surgical Lung Cancer Patients
NCT04826835 ·Status: RECRUITING ·Phase: NA
-
The Effects of Pre-extubation Single Recruitment Maneuver on Perioperative Atelectasis
NCT05494255 ·Status: COMPLETED ·Phase: NA
-
Measurement of Lung Water by Transpulmonary Thermodilution in Lung Transplanted Patients
NCT00834054 ·Status: COMPLETED
-
Evaluation of Effect of Different Ventilator Mods on Atelectasis in Patients Undergoing Laparoscopic Surgery
NCT03614845 ·Status: COMPLETED ·Phase: NA
-
Hemodynamic Effects of Physiotherapy in the Early Postoperative Period
NCT03726541 ·Status: COMPLETED ·Phase: NA
-
Zero Positive End-expiratory Pressure Before Emergence Prevents Postoperative Atelectasis.
NCT03351946 ·Status: COMPLETED ·Phase: NA
-
Comparative Analysis of the Lung Inflammatory Response After Thoracic Surgery With Single or Double Lung Ventilation: a Randomized, Pilot, Trial
NCT05982639 ·Status: COMPLETED ·Phase: PHASE2
-
The Impacts of Intermittent Chest Tube Clamping on Chest Tube Drainage Duration and Postoperative Hospital Stay After Lung Cancer Surgery
NCT03379350 ·Status: COMPLETED ·Phase: NA
-
Postural Changes in Lung Volumes in Obesity
NCT02207192 ·Status: COMPLETED
-
A Randomized Trial Comparing a Ventilatory Strategy To Prevent Atelectasis Versus a Lateral Decubitus Strategy During Robotic Bronchoscopy (VESPA vs. LADS Trial)
NCT05714033 ·Status: ACTIVE_NOT_RECRUITING ·Phase: NA
-
Inflammatory Response After One-lung Ventilation According to Ventilation Methods
NCT04007354 ·Status: COMPLETED ·Phase: NA
-
Intraoperative Neuromuscular Blockade and Postoperative Atelectasis
NCT03503565 ·Status: COMPLETED
-
Optimal Positive End-expiratory Pressure (PEEP) in Prone Position During Spine Surgery
NCT04024410 ·Status: COMPLETED