Health Condition 1: K352- Acute appendicitis with generalized peritonitis Health Condition 2: K810- Acute cholecystitis Health Condition 3: K650- Generalized (acute) peritonitis Health Condition 4: K565- Intestinal adhesions [bands] withobstruction (postinfection) Health Condition 5: K27- Peptic ulcer, site unspecified Health Condition 6: K631- Perforation of intestine (nontraumatic) Health Condition 7: K461- Unspecified abdominal hernia withgangrene Health Condition 8: K460- Unspecified abdomin
Conditions
Interventions
None listed
Sponsors
Department of Anaesthesiology Pain Medicine and Critical Care
Department of Anaesthesiology Pain Medicine and Critical Care
Eligibility
Inclusion criteria
Inclusion criteria: Adult patients (>= 18 years) of either sex undergoing emergency laparotomy for major abdominal surgery, requiring general anaesthesia. Informed written consent.
Exclusion criteria
Exclusion criteria: Preoperative requirement of mechanical ventilation. Preoperative room air oximetry SaO2 Patient requiring high dose of vasopressor support (Norepinephrine equivalent > 0.2 mcg/ kg /min). ASA 5 patients, not expected to live beyond 24 hours.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. To assess the predictive ability of preoperative comprehensive lung ultrasound parameters for postoperative respiratory failure.Timepoint: 30 minutes prior to the commence of the surgery. | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. To assess the predictive ability of individual lung ultrasound parameters for postoperative respiratory failure (Lung USG score, diaphragmatic thickening fraction, and pleural effusion). 2. To assess the predictive ability of postoperative lung ultrasound parameters for postoperative respiratory failure. 3. To assess the predictive ability of comprehensive lung ultrasound parameters (Both preoperative and postoperative) for in hospital mortality.Timepoint: Immediate postoperative period (within 24 hour of surgery) for doing postoperative lung ultrasound. Participants will be followed up to 7 days post-surgery or until hospital discharge in the ward/ ICU for the development of postoperative respiratory failure and to find out in hospital mortality (within one month of surgery). | — |
Countries
India
Contacts
Public ContactRoshna MP
All India Institute of Medical Sciences, New Delhi
Outcome results
None listed