Ultrasound Guided Recruitment Manauvere Versus Individualized Positive End Expiratory Pressure in Pediatric Patients Undergoing Laparoscopic Abdominal Surgery

Launched by TANTA UNIVERSITY · Mar 9, 2024

Keywords

ClinConnect Summary

This clinical trial is studying two different methods to help children breathe better during laparoscopic abdominal surgery, which is a type of minimally invasive surgery. The researchers want to see if using an ultrasound-guided technique called Recruitment Maneuver (RM) is more effective than a personalized breathing support called Positive End-Expiratory Pressure (PEEP) in improving oxygen levels and preventing breathing problems in young patients.

To participate in this study, children must be between 3 and 8 years old and scheduled for elective laparoscopic surgery. They should be generally healthy, without serious lung conditions or other significant health issues. Parents can expect their child to receive either the ultrasound-guided approach or the individualized breathing support during surgery, and the study aims to find out which method works better. This research is important as it could help improve the safety and comfort of children undergoing surgery in the future.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • Age from 3 to 8 years.
• • Both sexes.
• • American Society of Anesthesiologists (ASA) physical status I-II.
• • Children scheduled for elective laparoscopic abdominal surgeries.
• Exclusion Criteria:
• • Parental refusal.
• • Bronchial asthma or any preexisting chest disease.
• • Congenital deformity of the thoracic cage.
• • Patients with a history of thoracic surgery.
• • Cardiac, hepatic, or renal failure.
• • Obese children with BMI at or above 95th percentile of the same age and sex.