Individualized PEEP for improving lung function in obese patients after bariatric surgery

Is this trial a fit for you?

A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.

What this trial studies

This study investigates the effects of individualized high positive end-expiratory pressure (PEEP) on postoperative pulmonary complications in obese patients undergoing laparoscopic bariatric surgery. It aims to compare the outcomes of patients receiving optimized PEEP tailored to their lung mechanics against those receiving standard PEEP. The study focuses on enhancing oxygenation and lung function during and after surgery to reduce the risk of complications. Participants will be monitored for postoperative pulmonary complications to assess the effectiveness of the intervention.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Patients were eligible for participation if the met the following criteria

  * Age between 18 and 60 years old.
  * Body mass index \> 40
  * Laparoscopic bariatric elective surgery under general anesthesia.
  * ARISCAT (Assess Respiratory Risk in Surgical Patients in Catalonia) score ≥ 45 . ARISCAT score is a clinically practical seven-factor scoring system to assess the risk of a composite PPC.

Exclusion Criteria:

* Previous lung surgery
* ASA status III or IV.
* Moderate to severe obstructive or restrictive lung disease .
* Persistant intraoperative hemodynamic instability .
* Need for postoperative mechanical ventilation

Where it's running

• Ain shams university
  Cairo, Cairo Governorate, Egypt Recruiting

Study contacts

• Study coordinator: wessam selima, MD
• Email: w.z.selima@med.asu.edu.eg
• Phone: +201001958858

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How to take part

1. Review the eligibility criteria above with your treating physician.
2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.