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NCT05528159

Lung Ultrasound Score (LUS) Change in Robotic and Laparoscopic Urologic Surgeries

Completed Last updated 9 July 2024
What this trial tests

trial testing Intraabdominal CO2 insufllation in Atelectasis in 48 participants. Completed in 30 April 2024.

Timeline
7 December 2022
Primary endpoint
15 April 2024
30 April 2024

Quick facts

Lead sponsorIstanbul University
StatusCompleted
Study typeOBSERVATIONAL
Enrollment48
Start date7 December 2022
Primary completion15 April 2024
Estimated completion30 April 2024
Sites1 location across Turkey (Türkiye)

Drugs / interventions tested

Conditions studied

Sponsor

Istanbul University

Who can join

18 and older, any sex, with Atelectasis. Patients with the condition only — healthy volunteers not accepted.

Sponsor's own description

Robotic and laparoscopic surgeries are tend to cause lung atelectasis due to the insufflation of CO2 into abdomen. However, ultrasonographic measurement for this phenomenon and its clinical use is not well investigated. In this particular study, It is aimed to observe lung ultrasound score (LUS) changes in robotic and laparoscopic supine position surgeries such as prostatectomies and cystectomies. LUS is a pragmatic measurement method that calculates the degree of atelectasis and consolidation in the lungs. Both hemithoraxes are separated into 3 different segments with vertical lines (one between the parasternal line and anterior axillary line, one between the anterior and posterior axillary line, and one posterior to the posterior axillary line). These vertical segments are also divided into two with an horizontal line on the nipple. Lung ultrasonography is applied in all 12 zones for both lungs in the intercostal regions and a scoring system is used. Accordingly, pure A lines (transverse frequent lines) reflects normal lung tissue with no consolidation and scored as zero points (Also named "A"). If less than 4 B lines (vertical lines reflecting some degree of consolidation) is observed, it refers to 1 point (named "B1"). 4 or more B lines refers to 2 points (B2), and if wide and coalesced B lines or patchy pleural line is observed that refers to 3 points (C). All evaluations will be made in supine position. In this trial, LUS will be applied in three different time points: T1: 5 minutes after orotracheal intubation T2: At the end of surgery, before extubation (under deep anesthetic state) T3: 30 minutes after extubation, in postanesthesia care unit During the surgery and the postoperative care period standart monitorization and mechanical ventilation data will be gathered. Also intraoperative and postoperative blood gas analysis will be obtained to observe oxygenation changes. This study is planned as a prospective observational study and our hypothesis is that LUS scores would be lower in acute postoperative period with robotic and laparoscopic surgeries. Therefore primary outcome is the numeric change in T3 and T1. Secondarily, LUS scores will be evaluated between robotic group and laparoscopic group patients for all time points.

Publications & conference data

1 peer-reviewed publication reference this trial (live from Europe PMC):

  1. Evaluation of perioperative lung ultrasound scores in robotic radical prostatectomy: prospective observational study.
    Vuran Yaz İ, Bingül ES, Canbaz M, Aygün E, et al · · 2025 · PMID 40069409 · DOI 10.1007/s11701-025-02272-x

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Other recruiting trials for Atelectasis

Currently open trials in the same condition.

Other Istanbul University trials

Trials by the same sponsor.

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