Spots Global Cancer Trial Database for Lung US for PEEP Optimization in Robotic Radical Prostatectomy or Cystectomy Patients

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Trial Identification

Brief Title: Lung US for PEEP Optimization in Robotic Radical Prostatectomy or Cystectomy Patients

Official Title: Intraoperative Bedside Lung-ultrasound Use to Optimize Positive End-expiratory Pressure for Elective Robotic-assisted Radical Prostatectomy or Cystectomy Patients: a Randomized Controlled Trial

Study ID: NCT06307704

Conditions

Prostate Cancer

Urinary Bladder Cancer

Surgery

Positive End Expiratory Pressure

Lung Ultrasound

Interventions

Lung Ultrasound - guided Stepwise PEEP

Standard Ventilation Protocol

Study Description

Brief Summary: There is an increasing trend in the use of robotic-assisted radical prostatectomy or cystectomy (RARPC). Preventing lung atelectasis without inducing overdistention of the lung is challenging. Many studies tried to optimize PEEP titration by using methods such as dead space fraction guided and static pulmonary compliance directed techniques, or by using electrical impedance tomography. However, the use of these methods is limited by inaccuracy and the need for sophisticated devices. Bedside Lung ultrasound is fast, easy and economic technique that is gaining interest in the operating room. Ultrasound-guided PEEP titration has been used in bariatric surgeries (different position and usually shorter procedure time) and proved effective in improving oxygenation, compliance and reducing the incidence of postoperative pulmonary atelectasis and hypoxia without causing hemodynamic instability. The aim of this study is to evaluate the effectiveness of intraoperative individualized lung ultrasound-guided stepwise PEEP optimization in patients undergoing RARPC on oxygenation, intraoperative and early postoperative pulmonary complications.

Detailed Description: