Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: RAMS CANNULA NIV: non invasive ventilation delivered by ventilator through the RAMS CANNULA as the interface
post extubation till p/f ratio 300
Intervention2: SIPAP: or Sigh PAP device
SIPAP: high frequency nasal cannula to deliver high humidified oxygen at high oxygen concentration
or Sigh PAP device is a form of bilevel PAP to deliver two levels of positive airway pressure for better lung recruitment
post extubation till p/f ratio 300
Sponsors
PGIMER
Eligibility
Inclusion criteria
Inclusion criteria: post cardiac surgery belonging to RACHS GROUP 1,2
Exclusion criteria
Exclusion criteria: Neonates Preoperative respiratory compromise Preoperative requirement of mechanical ventilation Emergency surgery Residual anatomical defects etc. Diaphragmatic palsy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| compare the magnitude of decrease in respiratory workload by HFNC, NIPPV and SIPAP as assessed using diaphragmatic thickening fraction and 2D longitudinal strain.Timepoint: at extubation, D1, D2, D3,D4,D5,D6,D7,D8,D9,D10 | — |
Secondary
| Measure | Time frame |
|---|---|
| Changes in oxygenation (P/F ratio; ROX index) Proportion of patients that require reintubation till 48 hours post extubation and until discharge from ICU. Switching to other treatment options or premature treatment discontinuation(NIV/HFNC failure) Incidence of complications like atelectasis, collapse, pneumothorax, abdominal distension, feed intolerance,etc. Correlation between Strain and DTF as a measure of diaphragmatic function Compliance for the device Timepoint: at extubation, D1, D2, D3,D4,D5,D6,D7,D8,D9,D10 | — |
Countries
India
Contacts
Public ContactALISHA GOEL
Proffesor, Department of Anesthesia, PGIMER CHANDIGARH
Outcome results
None listed