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Effect of change in Ventilation on movement of diaphragm in patients of Atlanto-Axial Dislocation undergoing fixation surgery.

Effect of lung recruitment maneuver on diaphragmatic excursion in patients of Atlanto-Axial Dislocation undergoing posterior fixation surgery.

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2020/02/023311
Enrollment
60
Registered
2020-02-13
Start date
Unknown
Completion date
Unknown
Last updated
2021-11-24

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: G958- Other specified diseases of spinalcord

Interventions

Intervention1: Lung Recruitment Maneuver: Intra-operative incremental Lung Recruitment Maneuver will be applied after induction of anaesthesia in prone position. Incremental increase in PEEP will be a

Sponsors

Department of Anaesthesiology
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: ASA I and ASA II AAD patients undergoing posterior fixation surgery under general anaesthesia.

Exclusion criteria

Exclusion criteria: Syringomyelia Quadriplegia Arnold-Chiari Malformation COPD Muscular dystrophy Morbid obesity (BMI > 35Kg/m2) Peek Expiratory Flow Rate < 40 % (Measured through PFT lab)

Design outcomes

Primary

MeasureTime frame
Change in Diaphragmatic Excursion following lung recruitment maneuver.Timepoint: 0(after induction of anaesthesia and attaining prone position), 6, 24, 48 Hours—

Secondary

MeasureTime frame
1. Prediction of prolong mechanical ventilation on the basis of preoperative and postoperative Diaphragmatic Excursion. 2. Time to extubation 3. Pa02/FiO2 ratio 4. Time to ICU dischargeTimepoint: For Pa02/FiO2 ratio, ABG will be taken serially immediately after induction, at 3 hrs after induction, ICU admission, before putting patient on T-piece and 1 hour after extubation.—

Countries

India

Contacts

Public ContactRuchi Verma

Sanjay Gandhi Post Graduate Institute of Medical Sciences

ruchiv197@gmail.com09415590425

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026