Health Condition 1: C15-C26- Malignant neoplasms of digestive organs Health Condition 2: C51-C58- Malignant neoplasms of female genital organs Health Condition 3: C60-C63- Malignant neoplasms of male genital organs Health Condition 4: C64-C68- Malignant neoplasms of urinary tract
Conditions
Interventions
Intervention1: Electrical Impedance Tomography guided PEEP: Decremental PEEP titration to be done and optimal PEEP to be identified for each patient. Then mechanical ventilation would be given with th
Sponsors
AIIMS New Delhi
Eligibility
Inclusion criteria
Inclusion criteria: Patients undergoing elective open abdominal oncology surgeries Age 18-65 years, both gender ASA Physical Status I, II and III
Exclusion criteria
Exclusion criteria: Patients who do not give consent for the study Patients with ASA Physical Status IV and above Patients with Body Mass Index (BMI) 35 Patients with moderate to severe derangements in Pulmonary Function Tests Patients with pacemakers Surgeries in which incision does not extend above the level of umbilicus Surgeries lasting less than two hours
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Modified Lung Ultrasound ScoreTimepoint: Before anaesthesia induction and sixty minutes after extubation | — |
Secondary
| Measure | Time frame |
|---|---|
| HaemodynamicsTimepoint: Preoperative baseline, after induction, after intubation, after 1st recruitment, after PEEP titration, after 2nd recruitment, at start of surgery, every 30 minutes until extubation, after extubation;PaO2/FiO2 ratiosTimepoint: Before surgery, after second recruitment manoeuvre, one hour after randomization, after surgery before extubation, one hour after extubation and 24 hours after extubation;Postoperative pulmonary complicationsTimepoint: From extubation until 3 days postoperatively | — |
Countries
India
Contacts
Public ContactDr Karthik AR
AIIMS New Delhi
Outcome results
None listed