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Open Lung Approach During General Anaesthesia to Prevent Post-Operative Pulmonary Complications

The recruitment status of this study is unknown. The completion date has passed and the status has not been verified in more than two years.
Verified January 2007 by Università degli Studi dell'Insubria.
Recruitment status was:  Recruiting
Information provided by:
Università degli Studi dell'Insubria Identifier:
First received: January 24, 2007
Last updated: NA
Last verified: January 2007
History: No changes posted

The hypothesis of this study is that the "Open lung approach" ( recruitment and PEEP) during general anaesthesia reduces atelectasis formation and improves respiratory function in the immediate post-operative period after major abdominal surgery.

This is a prospective, randomized, controlled clinical-trial,performed in patients undergoing major abdominal surgery, to compare the effects on the post-operative pulmonary complications of two different intraoperative ventilatory strategies during general anaesthesia: 1- Control Group: PEEP 0 cmH2O without recruitment manoeuvre; 2- Treatment Group:recruitment manoeuvre (after intubation and before extubation) and PEEP 10 cmH2O In the post-operative period the following variables will be recorded at the first, third and fifth postoperative day: 1- Gas-exchange in air; 2- Chest X-ray for atelectasis evaluation; 3- signs of pulmonary complication (cough, secretions, dyspnea, thoracic pain)

Condition Intervention
Postoperative Complications Procedure: Positive end-expiratory pressure

Study Type: Interventional
Study Design: Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Primary Purpose: Treatment

Resource links provided by NLM:

Further study details as provided by Università degli Studi dell'Insubria:


Ages Eligible for Study:   18 Years and older   (Adult, Senior)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   No

Inclusion Criteria:

  • Patients with ASA 1, 2 and 3
  • Age higher than 18 years
  • Major abdominal surgery
  • General anesthesia

Exclusion Criteria:

  • COPD with FEV1 lower than 50%
  • Ischemic cardiopathy
  • Loco-regional anesthesia alone
  • Minor abdominal surgery
  • Laparoscopic surgery
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its identifier: NCT00426790

Contact: Paolo Pelosi, Professor 0039-335-5941740

Ospedale di Circolo e Fondazione Macchi Recruiting
Varese, Italy, 21100
Sponsors and Collaborators
Università degli Studi dell'Insubria
Principal Investigator: Paolo Pelosi, Professor University of Insubria, Varese, Italy
  More Information Identifier: NCT00426790     History of Changes
Other Study ID Numbers: 1400
Study First Received: January 24, 2007
Last Updated: January 24, 2007

Additional relevant MeSH terms:
Postoperative Complications
Pathologic Processes processed this record on August 21, 2017