Comparing ultrasound-guided lung recruitment and individualized pressure in children during laparoscopic surgery
Ultrasound Guided Recruitment Manauvere Versus Individualized Positive End Expiratory Pressure in Pediatric Patients Undergoing Laparoscopic Abdominal Surgery; A Prospective Randomized Controlled Study.
This study tests whether using ultrasound to help open up the lungs or adjusting breathing pressure can better improve oxygen levels and prevent breathing problems in kids having laparoscopic surgery.
Quick facts
| Phase | Not applicable |
|---|---|
| Study type | Interventional |
| Enrollment | 120 (estimated) |
| Ages | 3 Years to 8 Years |
| Sex | All |
| Sponsor | Tanta University Academic / other |
| Drugs / interventions | radiation |
| Locations | 1 site (Tanta, El-Gharbia) |
| Trial ID | NCT06306820 on ClinicalTrials.gov |
What this trial studies
This study aims to compare the effectiveness of ultrasound-guided recruitment maneuvers versus individualized positive end-expiratory pressure (PEEP) in improving oxygenation and preventing respiratory complications in pediatric patients undergoing laparoscopic abdominal surgeries. It addresses the high incidence of postoperative atelectasis in children, which can lead to serious respiratory issues. The study utilizes lung ultrasound as a noninvasive method to assess and manage atelectasis during anesthesia. By randomizing participants to receive either intervention, the study seeks to determine which approach is more beneficial for this vulnerable population.
Who should consider this trial
Good fit: Ideal candidates are children aged 3 to 8 years scheduled for elective laparoscopic abdominal surgeries with ASA physical status I-II.
Not a fit: Patients with preexisting respiratory conditions, congenital thoracic deformities, or those who are obese may not benefit from this study.
Why it matters
Potential benefit: If successful, this study could significantly reduce the incidence of respiratory complications in children undergoing laparoscopic surgeries.
How similar studies have performed: Previous studies have shown promising results with similar approaches in managing postoperative pulmonary complications, indicating potential for success.
Eligibility criteria
Show full inclusion / exclusion 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.
Where this trial is running
Tanta, El-Gharbia
- Tanta University — Tanta, El-Gharbia, Egypt (Recruiting)
Study contacts
- Study coordinator: Reham M Rezk, MBBCH
- Email: rehamrezk95@gmail.com
- Phone: 00201013193723
How to participate
- Review the eligibility criteria above with your treating physician.
- Visit the official trial page on ClinicalTrials.gov for the most current contact information and recruitment status.
- Contact the listed study coordinator or principal investigator to request pre-screening. Pre-screening is free and never obligates you to enroll.