Evaluating Respiratory Effects of Driving Pressure Guided Mechanical Ventilation Using Electrical Impedance Tomography in Patients Undergoing Robot-Assisted Laparoscopic Radical Prostatectomy

Launched by ISTANBUL UNIVERSITY · Aug 2, 2024

Keywords

ClinConnect Summary

General anesthesia increases the risk of respiratory complications and impairs arterial oxygenation by causing atelectasis in the dorsal regions of the lungs. Postoperative pulmonary complications (PPC) represent events such as atelectasis, pulmonary edema, pneumonia, pleuritis, reintubation, and the need for oxygen support after surgery, and are associated with increased morbidity, mortality, intensive care, and hospital stay durations, as well as higher healthcare costs. The effective strategy to reduce the incidence of PPC in patients under general anesthesia is still not clear.

Robot-a...

Gender

MALE

Eligibility criteria

• Inclusion Criteria:
• • ASA score of I-II-III according to the American Society of Anesthesiologists (ASA) physical status classification system
• • Surgery duration is expected to be longer than 2 hours
• Exclusion Criteria:
• • Patients who underwent surgery requiring mechanical ventilation for more than 1 hour within 2 weeks before the operation
• • Patients with a body mass index over 35
• • Patients with large bullae or pneumothorax, those currently receiving oxygen support, those with severe respiratory disease
• • Patients with severe heart failure classified as NYHA class III-IV by the New York Heart Association (NYHA), those with a pacemaker or cardiac defibrillator implant
• • Patients with progressive neuromuscular disease
• • Patients who refused to participate in the study were excluded.