[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100615588":3},{"organization":4,"armGroups":7,"interventions":24,"overallOfficials":33,"centralContacts":37,"locations":42,"responsibleParty":66,"collaborators":12,"id":69,"slug":70,"hasResults":71,"nctId":72,"briefTitle":73,"officialTitle":74,"acronym":75,"eligibilityCriteria":76,"healthyVolunteers":71,"sex":77,"minAge":78,"maxAge":79,"enrollmentInfo":80,"targetDuration":12,"studyType":83,"phases":84,"briefSummary":86,"conditions":87,"keywords":91,"overallStatus":98,"whyStopped":12,"lastUpdateSubmitDate":99,"lastUpdatePostDateStruct":100,"startDateStruct":103,"completionDateStruct":105,"leadSponsor":107,"locationsCount":108},{"fullName":5,"class":6},"Istanbul University - Cerrahpasa","OTHER",[8,13,19],{"label":9,"type":10,"description":11,"interventionNames":12},"GROUP 1","NO_INTERVENTION","Fixed PEEP: 5 cm H2O",null,{"label":14,"type":15,"description":16,"interventionNames":17},"GROUP 2","ACTIVE_COMPARATOR","PEEP: 5 cm H2O, 5 cycles, recruitment maneuver will be performed with pre-extubation plateau P \\\u003C 35 cm H2O and vital capacity x 2",[18],"Other: recruitment maneuver",{"label":20,"type":15,"description":21,"interventionNames":22},"GROUP 3","PEEP: 5 cm H2O, 5 cycles of recruitment maneuvers will be performed in the right-left lateral decubitus position before extubation with plateauP \\\u003C 35 cm H2O and vital capacity x 2.",[23],"Other: right and left lateral decubitus position recruitment maneuvers",[25,29],{"type":6,"name":26,"description":27,"armGroupLabels":28,"otherNames":12},"recruitment maneuver","PEEP: 5 cmH2O, 5 cycles, recruitment maneuver with plateau P\\\u003C35 cm H2O and vital capacity x2.",[14],{"type":6,"name":30,"description":31,"armGroupLabels":32,"otherNames":12},"right and left lateral decubitus position recruitment maneuvers","PEEP: 5 cmH2O, 5 cycles of recruitment maneuvers will be performed in the right and left lateral decubitus position before extubation with P\\\u003C35 cmH2O and vital capacity x2.",[20],[34],{"name":35,"affiliation":5,"role":36},"Elif Keskin, Medical Doctor","PRINCIPAL_INVESTIGATOR",[38],{"name":35,"role":39,"phone":40,"phoneExt":12,"email":41},"CONTACT","902124143000","elif.keskin1@iuc.edu.tr",[43],{"facility":44,"status":12,"city":45,"state":46,"zip":47,"country":48,"countryCode":12,"cosmosGeoPoint":49,"geoPoint":54,"contacts":55},"Istanbul University-Cerrahpasa, Cerrahpasa Faculty of Medicine","Istanbul","Bakırköy","34153","Turkey (Türkiye)",{"type":50,"coordinates":51},"Point",[52,53],28.94966,41.01384,{"lat":53,"lon":52},[56,58,59,62,64],{"name":57,"role":39,"phone":40,"phoneExt":12,"email":41},"Elif Keskin, Medical doctor",{"name":35,"role":36,"phone":12,"phoneExt":12,"email":12},{"name":60,"role":61,"phone":12,"phoneExt":12,"email":12},"Ayşe Çiğdem Tütüncü, MD","SUB_INVESTIGATOR",{"name":63,"role":61,"phone":12,"phoneExt":12,"email":12},"Pınar Kendigelen, MD",{"name":65,"role":61,"phone":12,"phoneExt":12,"email":12},"Münevver Kayhan, MD",{"type":36,"investigatorFullName":67,"investigatorTitle":68,"investigatorAffiliation":5,"oldNameTitle":12,"oldOrganization":12},"Elif Keskin","Elif Keskin, Medical Doctor, Istanbul University - Cerrahpasa","100615588","evaluation-of-the-effect-of-perioperative-recruitment-maneuver-practice-on-lung-ultrasound-score-and-mechanical-power-in-pediatric-patients-100615588",false,"NCT07294560","Evaluation of the Effect of Perioperative Recruitment Maneuver Practice on Lung Ultrasound Score and Mechanical Power in Pediatric Patients","Evaluation of the Effect of Perioperative Recruitment Maneuver Practice on Lung Ultrasound Score and Mechanical Power in Pediatric Patients; A Prospective Randomized Study","LUS RM PEEP","Inclusion Criteria:\n\n* Patients aged 1-14 years with\n* ASA score of 1-3\n* who had surgery in the operating rooms of Cerrahpaşa Medical Faculty during the study period\n* surgical duration was at least 2 hours\n\nExclusion Criteria:\n\n* ASA score of 4\n* defined lung disease (patients using medication due to asthma and having 2 emergency visits within 1 year)\n* prematurity (\\\u003C 36 weeks gestational age \u002F bronchopulmonary dysplasia)\n* cystic fibrosis\n* diagnosed syndromic disease\n* congenital cardiac disease\n* abnormal chest X-ray\n* chest wall deformity\n* or history of previous chest surgery","ALL","1 Year","14 Years",{"count":81,"type":82},78,"ESTIMATED","INTERVENTIONAL",[85],"NA","Pulmonary atelectasis is common during general anesthesia and increases the risk of hypoxemia, especially in pediatric patients. PEEP and recruitment maneuvers (RM) are effective in preventing atelectasis. Lung ultrasound is practical for diagnosis. Mechanical power refers to the amount of energy delivered to the lung by the ventilator; excessive mechanical power can cause lung injury. Limiting mechanical power may reduce postoperative complications. This study aimed to determine the effectiveness of recruitment maneuvers in preventing atelectasis using lung ultrasound during the intraoperative period, to examine the relationship between lung ultrasound scores and mechanical power, and to demonstrate the effect of recruitment maneuvers on postoperative pulmonary complications. This study is based on the hypothesis that \"The recruitment maneuver reduces perioperative atelectasis and the development of related complications, and lung ultrasound can be used to detect this. The lung ultrasound score also decreases in patients with reduced mechanical force.\" It will be prospectively applied to pediatric patients aged 1-14 years who will undergo surgery in the operating rooms of Cerrahpaşa Medical Faculty.\n\nPatients included in the study will be prospectively randomized into 3 groups. The randomization performed using the sealed opaque envelope method.All patients will be ventilated in VG-Pressure guaranteed mode. Tidal volume will be calculated as 6-8 ml\u002Fkg of ideal body weight.\n\nGROUP 1: Fixed PEEP: 5 cmH2O, GROUP 2: PEEP: 5 cmH2O, 5 cycles, recruitment maneuver with plateau P\\\u003C35 cm H2O and vital capacity x2. GROUP 3: PEEP: 5 cmH2O, 5 cycles of recruitment maneuvers will be performed in the right and left lateral decubitus position before extubation with P\\\u003C35 cmH2O and vital capacity x2.\n\nLung ultrasound will be performed before induction (1), 5 minutes after intubation (2), before extubation (3), and finally 5 minutes after extubation(4). Each hemithorax will be divided into 6 regions, and lung scores will be recorded. At 5 minutes after intubation and every hour there after, PeakP, PlateauP, DeltaP, Compliance, Driving Pressures, and Mechanical Work calculations will be recorded before and after the maneuver in the group undergoing the recruitment maneuver.",[88,89,90],"Postoperative Pulmonary Complications","Postoperative Pulmonary Atelectasis","Pediatric Surgery",[26,92,93,94,95,96,97],"pediatric recruitment maneuver","PEEP","mechanical power","mechanical work","compliance","atelectasis","NOT_YET_RECRUITING","2026-02-09",{"date":101,"type":102},"2026-02-11","ACTUAL",{"date":104,"type":82},"2026-02-15",{"date":106,"type":82},"2026-07-15",{"name":5,"class":6},1]