Ignite Creation Date:
2024-07-17 @ 11:31 AM
Last Modification Date:
2024-10-26 @ 3:32 PM
Study NCT ID:
NCT06462976
Status:
RECRUITING
Last Update Posted:
2024-06-17
First Post:
2024-06-04
Brief Title:
Postoperative Pulmonary Complications in Adult PNL Patients
Sponsor:
TC Erciyes University
Organization:
TC Erciyes University
Study Overview
Official Title:
The Effect of Intraoperative Position and Mechanical Power on Postoperative Pulmonary Complications in Adult PNLPercutaneous Nephrolithotomy Patients
Status:
RECRUITING
Status Verified Date:
2024-06
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
The aim of this study is to investigate the effect of different surgical positions supineprone on lung mechanical power MP and its relationship with postoperative pulmonary complications in patients planned to percutaneous nephrolithotomy PNL under general anesthesia
Detailed Description:
PNL is the preferred treatment method for kidney stones larger than 2 cm multiple kidney stones and staghorn stones With new developments in the field of medicine PNL has become a minimally invasive method and is preferred to open surgery in the treatment of kidney stones Alternative types of anesthesia and various patient positions have been described in PNL
Mechanical power of ventilation MP is the amount of energy transferred from the mechanical ventilator to the respiratory system per unit time Although this energy is primarily used to overcome airway resistance and respiratory system compliance some of it acts directly on lung tissue potentially causing ventilator-induced lung injury VILI
Mechanical power during ventilation estimates the energy delivered to the respiratory system by integrating inspiratory pressures tidal volume and respiratory rate into a single value It allows physicians to evaluate adjustments made to mechanical ventilation by calculating a single value High mechanical power value is associated with a high incidence of postoperative pulmonary complications and mortality In short the energy distributed to the respiratory system consists of the static composite PEEP the dynamic composite driving pressure and tidal volume and the resistive composite the pressure required for gas flow Because energy is equal to the pressure that causes a change in volume The equation is as follows MP 0098 respiratory rate tidal volume PEEP ½plateau-peep peak-plateau These parameters are monitored on the monitor while the patient is mechanically ventilated and placed into the equation
After general anesthesia some postoperative pulmonary complications may be encountered Exposure to high mechanical force in ventilated patients during surgery has been found to be associated with an increase in postoperative pulmonary complications and acute respiratory failure This increases the length of hospital stay and mortality In order to prevent ventilator-related lung damage the mechanical ventilator must be adjusted to transfer the least amount of energy per unit time to the respiratory system for each patient
Early recognition of postoperative pulmonary complications that are likely to occur after surgery is important for rapid initiation of treatment Incentive spirometry triflo can be used to make a rapid assessment of the respiratory capacity of patients An incentive spirometer is a device that measures the volume of air drawn into the lungs during inspiration As you breathe through an incentive spirometer a piston inside the device rises and measures the volume of inhaled air 1 ball is considered as 600ml 2 balls as 900ml and 3 balls as 1200ml flow
Mechanical power of ventilation MP is the amount of energy transferred from the mechanical ventilator to the respiratory system per unit time Although this energy is primarily used to overcome airway resistance and respiratory system compliance some of it acts directly on lung tissue potentially causing ventilator-induced lung injury VILI
Mechanical power during ventilation estimates the energy delivered to the respiratory system by integrating inspiratory pressures tidal volume and respiratory rate into a single value It allows physicians to evaluate adjustments made to mechanical ventilation by calculating a single value High mechanical power value is associated with a high incidence of postoperative pulmonary complications and mortality In short the energy distributed to the respiratory system consists of the static composite PEEP the dynamic composite driving pressure and tidal volume and the resistive composite the pressure required for gas flow Because energy is equal to the pressure that causes a change in volume The equation is as follows MP 0098 respiratory rate tidal volume PEEP ½plateau-peep peak-plateau These parameters are monitored on the monitor while the patient is mechanically ventilated and placed into the equation
After general anesthesia some postoperative pulmonary complications may be encountered Exposure to high mechanical force in ventilated patients during surgery has been found to be associated with an increase in postoperative pulmonary complications and acute respiratory failure This increases the length of hospital stay and mortality In order to prevent ventilator-related lung damage the mechanical ventilator must be adjusted to transfer the least amount of energy per unit time to the respiratory system for each patient
Early recognition of postoperative pulmonary complications that are likely to occur after surgery is important for rapid initiation of treatment Incentive spirometry triflo can be used to make a rapid assessment of the respiratory capacity of patients An incentive spirometer is a device that measures the volume of air drawn into the lungs during inspiration As you breathe through an incentive spirometer a piston inside the device rises and measures the volume of inhaled air 1 ball is considered as 600ml 2 balls as 900ml and 3 balls as 1200ml flow
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None