Health Condition 1: I52- Other heart disorders in diseasesclassified elsewhere
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1)Both male and female in the age group of 2-14 yrs post- operated cases of congenital heart disease (cyanotic& acyanotic) on Mechanical ventilation for atleast 6 hour will be included.
Exclusion criteria
Exclusion criteria: 1. Patient below 1 yrs of age ( due to unavailability of proper evidence in neonates and safety issue is taken into account. no harm principle of bioethics is applied ) 2. Patients with H/O of any respiratory disease. 3. Patient with Thoracic deformity 4. Patient with Bronchopleural fistula 5. Patient on intercostals catheter with continuous leak. 6. Patient with unstable hemodynamics hypotension -Systolic B.P < 65 mmHg in infants , <70 mmHg in 1-4 yrs , <80 in 5-12 yrs and <90 mmHg in more than 12 yrs, 7. Patient with life threatening arrhythmias, 8. Patient with Acute heart failure
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Lung compliance 2. Oxygenation 3. Ventilation 4. Extubation timeTimepoint: Time points- lung compliance, Oxygenation and ventilation, 2 minutes before intervention (BASELINE) and 15 minutes after intervention. Intervention is repeated either after 6-8 hours or after assessing the chest and if it requires intervention. It is continued till the patient is extubated.. Time points Extubation time -Time at which the patient is taken on ventilator and time of extubation. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Adverse event (pneumothorax, arrhythmias, BP fall ) 2. various types of CHD( cyanotic ,acynotic, mixed & complex ) 3. length of ICU stay ( in days ) 4. length of hospital stay ( in days) 5. ( BP,HR,RR) heart rate& RR ââ?¬â?? will be recorded bpm Tool for measurement- using moniter . Timepoint: Day of admission in the icu and the day of shifting to the ward Pre intervention and post intervention | — |
Countries
India
Contacts
Datta Meghe Institute of Medical Sciences [DU]