Using Electrical Impedance Tomography to Improve Breathing During Abdominal Laparoscopic 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 clinical trial evaluates the effects of recruitment maneuvers and PEEP-guided ventilation using electrical impedance tomography (EIT) in patients undergoing abdominal laparoscopic surgery. It is a prospective, single-center, randomized controlled trial where participants will be divided into two groups: one receiving EIT-guided PEEP adjustments and regular recruitment maneuvers, and the other receiving standard ventilation with a constant PEEP. The study aims to assess regional ventilation, blood oxygenation, and pulmonary mechanics, as well as postoperative complications and hospital stay duration. The findings could help optimize ventilation strategies during surgery to enhance patient outcomes.

Why it matters

Who can join: the full rules

Inclusion Criteria:

* Age \> 18 years
* Scheduled for abdominal laparoscopy surgery
* At increased (i.e., intermediate or high) risk of postoperative pulmonary complications according to the "Assess Respiratory Risk in Surgical Patients in Catalonia" (ARISCAT) score (≥ 26 points)
* Signed written informed consent

Exclusion Criteria:

* Major previous lung surgery (e.g., lung resection)
* Severe chronic obstructive pulmonary disease and/or severe emphysema
* Increased intracranial pressure
* Contraindications for EIT (pacemakers, automatic external defibrillators, cases of chest trauma or recent chest surgery limiting EIT belt application)
* Presence of pneumothorax that is either undrained or newly occurred.
* Unstable hemodynamics with a mean arterial pressure \< 60 mmHg and unresponsive to resuscitation measures, and/or heart rate \< 60 bpm.
* Pregnancy.
* Severe neuromuscular disease.

Where it's running

• Anesthesia Center, Bach Mai Hospital
  Hanoi, Vietnam Recruiting

Study contacts

• Study coordinator: Thanh Huyen Thi Pham, M.D
• Email: drthanhhuyen368@gmail.com
• Phone: +84989733699

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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.