Status:

COMPLETED

Cardiopulmonary Changes Prolonged Surgical Abdominal Retractors Application in Supine Versus Lateral Position

Lead Sponsor:

Mansoura University

Conditions:

Cardio-pulmonary

Eligibility:

All Genders

18-65 years

Brief Summary

Introduction: Dynamic and static compliance should be calculated as a routine part of ventilator monitoring. Dynamic and static compliance are 60-100 mL/cm H2O. A decrease in dynamic compliance withou...

Detailed Description

Introduction: Dynamic and static compliance should be calculated as a routine part of ventilator monitoring. Dynamic and static compliance are 60-100 mL/cm H2O. A decrease in dynamic compliance withou...

Eligibility Criteria

Inclusion

  • ASA I-II patients
  • both sexes
  • Age 18 - 65 year
  • surgical time ≥ 6hours for Orthotopic urinary bladder diversion surgery for cancer bladder patients and 3 hours for open surgical nephrectomy.

Exclusion

  • Body mass index (BMI) greater than 35 kg. m-2.
  • Asthma requiring bronchodilator therapy.
  • Chronic Obstructive Pulmonary Disease, GOLD classification III and IV.
  • Severe pulmonary disease.
  • Hemodynamic instability (hypotension or tachycardia).
  • History of congestive heart failure or New York Heart Association (NYHA) functional class IV
  • Right ventricular dysfunction.
  • Severe valvular heart disease.
  • Intra-cardiac shunts.
  • Intracranial hypertension.
  • Cardiac rhythm other than regular sinus.
  • Severe chronic kidney disease (glomerular filtration rate \< 30 ml. min-1. 1.73 m2).
  • Liver cirrhosis (Child Pugh class B or C).
  • Pregnancy.
  • Previous thoracic surgery (lobectomy, bilobectomy, or pneumonectomy).
  • Lung metastatic surgery.
  • Previous receiving chemotherapy.
  • Emergency surgery.
  • Preoperative need for invasive mechanical ventilation.

Key Trial Info

Start Date :

December 15 2018

Trial Type :

OBSERVATIONAL

Allocation :

ACTUAL

End Date :

March 30 2019

Estimated Enrollment :

40 Patients enrolled

Trial Details

Trial ID

NCT03776292

Start Date

December 15 2018

End Date

March 30 2019

Last Update

June 20 2019

Active Locations (1)

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Mansoura faculty of Medicine- Mansoura Urology and nephrology center

Al Mansurah, Dakahlia Governorate, Egypt, 35511

Cardiopulmonary Changes Prolonged Surgical Abdominal Retractors Application in Supine Versus Lateral Position | DecenTrialz