Health Condition 1: J683- Other acute and subacute respiratory conditions due to chemicals, gases, fumes and vapors
Conditions
Interventions
Intervention1: Pressure controlled ventilation: Arterial blood gas analysis will be performed pre-operatively,intra-operatively after 1 hour of one lung ventilation and then finally after extubation.
Sponsors
King George medical university
Eligibility
Inclusion criteria
Inclusion criteria: Patient posted for elective decortication surgery forempyema thoracis requiring lung isolation technique of ASA grade 2 and 3 between 20-50 years
Exclusion criteria
Exclusion criteria: Major organ dysfunction except lung disease,hemodynamic instability,increased intracranial pressure Age >50 years Difficult airway H/o chest wall deformity or thoracic surgery that could interfere with pulmonary resection Non pulmonary co morbities that could cause severe functional limitation(morbid obesity) or could limit survival(cancer) Pulmonary hypertension at rest
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| During surgery, haemodynamic monitoring (SBP,DBP, MAP, HR,ETCO2) is done continuously and noted at 0,5,15,30 AND 45 minutes intra operatively.Timepoint: During surgery, haemodynamic monitoring (SBP,DBP, MAP, HR,ETCO2) is done continuously and noted at 0,5,15,30 AND 45 minutes intra operatively. | — |
Secondary
| Measure | Time frame |
|---|---|
| Plateau and peak pressures are recorded at all these stages including the basic parameters of the body like BP,HR,etco2 and arterial oxygen saturation independently during volume controlled and pressure controlled ventilation. Intra-operatively multimodal methods of analgesia will be used including inj.fentanyl,inj.PCM (1 gm) and intercostal block on the thoracotomy sideTimepoint: 24hrs | — |
Countries
India
Contacts
Public ContactDinesh Singh
King George medical university
Outcome results
None listed