Comparison of Timing for Lung Recruitment Maneuvers to Reduce Postoperative Lung Complications in Robotic Prostate Surgery

What this Trial Is About

Robotic prostate surgery is often done under general anesthesia with carbon dioxide pneumoperitoneum and steep Trendelenburg positioning, which can reduce lung volumes, affect breathing mechanics, and increase the risk of lung collapse and postoperative lung problems. This study aims to compare how the timing of lung recruitment maneuvers affects postoperative lung complications in adults undergoing elective robotic prostate surgery. Participants will be randomly assigned to one of two groups. One group will receive the recruitment maneuver before carbon dioxide insufflation while lying flat supine, followed by individualized positive end-expiratory pressure PEEP settings. The other group will have the recruitment maneuver after pneumoperitoneum and Trendelenburg positioning, followed by individualized PEEP. Both groups will have their PEEP levels determined by gradually reducing PEEP while monitoring lung function. During the study, patients will be monitored for lung complications up to 72 hours after surgery or until discharge, whichever is first. Researchers will assess lung function and the occurrence of postoperative lung problems, as well as the length of hospital stay up to 30 days. The study follows a randomized, parallel design to evaluate the best timing for recruitment maneuvers to reduce lung complications after robotic prostate surgery.

Timing of Recruitment Maneuver in Robotic Prostate Surgery