Impact of Automated Lung Recruitment Maneuvers on Lung Collapse in Adults Undergoing Major Laparoscopic Colorectal Cancer Surgery

What this Trial Is About

Researchers are investigating the impact of automated intraoperative lung recruitment maneuvers on the occurrence of atelectasis in adult patients undergoing major laparoscopic colorectal cancer surgery. Laparoscopic colorectal surgery can increase the risk of lung collapse during and after surgery due to factors like pneumoperitoneum, patient positioning, and long anesthesia times. This trial aims to compare automated lung recruitment with standard ventilation to see if it reduces atelectasis and postoperative lung complications. Participants will be randomly assigned to one of two groups one receiving standard mechanical ventilation without lung recruitment maneuvers, and the other receiving automated lung recruitment maneuvers delivered by the anesthesia ventilator twice during surgery. The recruitment maneuvers are applied after anesthesia induction and after stopping pneumoperitoneum. Both groups will have standardized fluid management and postoperative care. Throughout the study, lung ultrasonography will be used before, during, and after surgery to detect atelectasis and assess lung aeration. Researchers will monitor outcomes including lung ultrasound scores, postoperative pulmonary complications, hemodynamic stability, and lengths of intensive care and hospital stays. The follow-up includes assessments up to one day after surgery and monitoring for complications until hospital discharge.

Automated Intraoperative Lung Recruitment Maneuvers in Major Laparoscopic Surgery