Health Condition 1: null- Patients with eosophageal cancer undergoing VATS oesophagectomy
Conditions
Interventions
Intervention1: Alveolar Recruitment Manouvre (ARM): All patients will have standard anaesthesia management before institution of OLV and thereafter till lung isolation device insertion and confirmati
Sponsors
Tata Memorial Hospital
Eligibility
Inclusion criteria
Inclusion criteria: All adult patients undergoing VATS oesophagectomy requiring one lung ventilation
Exclusion criteria
Exclusion criteria: EXCLUSION CRITERIA: 1) ASA physical status 3 and above 2) Valvular heart disease 3) LVEF less than 50% 4) FEV1 less than 60% predicted 5) DLCO less than 60% predicted 6) Patients unable to give a valid consent 7) All patients where Double Lumen Tube or Endobronchial Blocker placement was found to be unsatisfactory . 8) Patients requiring mephenteramine to maintain blood pressure within 10 min prior to institution of ARM.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Primary end point 1. PaO2 difference between PaO2 before and 30 minutes after ARM i.e PaO2 30 minutes after ARM - PaO2 before ARM Timepoint: Primary end point 1. PaO2 difference between PaO2 before and 30 minutes after ARM i.e PaO2 30 minutes after ARM - PaO2 before ARM | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end points 1. PaO2 difference between PaO2 before ARM and following time points after ARM : 5, 15,45, 60 minutes after ARM and at end of OLV 2. Difference in heart rate and mean arterial pressure before and at end of ARM Timepoint: before ARM, 5, 15,45, 60 minutes after ARM End of OLV | — |
Countries
India
Contacts
Public ContactMadhavi Shetmahajan
Tata Memorial Hospital
Outcome results
None listed