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Mode of ventilation to improve arterial oxygenation in post-operative patients undergoing upeer abdominal surgeries

Comparison between Helmet-CPAP and High Flow Nasal Cannula in Early post-operative period on Arterial Oxygenation in Adult Patients after Upper Abdominal Surgeries

Status
Active, not recruiting
Phases
Unknown
Study type
Interventional
Source
CTRI
Registry ID
CTRI/2022/03/041086
Enrollment
82
Registered
2022-03-14
Start date
Unknown
Completion date
Unknown
Last updated
2022-04-04

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

Conditions

Health Condition 1: O- Medical and Surgical

Interventions

Intervention1: Helmet CPAP: Group 1 will recieve Non Invasive ventilation by Helmet interface after extubation in Post-operative ward or HDU Control Intervention1: High Flow Nasal Cannula: Group II wi

Sponsors

All India Institute of Medical Sciences
Lead Sponsor

Eligibility

Inclusion criteria

Inclusion criteria: 1.All adult patients scheduled for elective major abdominal surgeries 2.with an anticipated duration of 2 h or more 3.a moderate to high risk of postoperative pulmonary complications, defined by an ARISCAT risk score of 26 points or more, were eligible for recruitment.

Exclusion criteria

Exclusion criteria: 1.ASA IV 2.Emergency surgeries 3.Morbid obesity (BMI >= 40) 4.obstructive sleep apnoea syndrome 5.pregnant patients 6.Any contraindications to NIV or HFNC Therapy

Design outcomes

Primary

MeasureTime frame
To compare arterial oxygenation using the Horowitz Index (PF ratio) at 9:00 Am on POD 1 Timepoint: 9:00 AM on POD 1—

Secondary

MeasureTime frame
To compare P/F ratio 2 hours after intervention, and at 12 hourly intervals after completion of treatment period. Lung Atelectasis Score on Chest X-ray at 9 AM morning after surgery. Lung Ultrasound Score at Pre-op, 9 AM in the morning on Day 1 and after 24 hours. Proportion of patients having post-operative pulmonary complications of any cause, graded on scale of 0 (no pulmonary complications) to 4 (most severe pulmonary complications) in the post-operative period, assessed on Day 7 and Day 14 telephonically if discharged. Proportion of patients developing postoperative persistent hypoxaemia, pneumonia, reintubation and/or use of curative NIV because of postoperative respiratory failure; Comfort of use of intervention. (graded on a numerical rating scale, ranging from 0 to 10); 0 â?? intolerable to 10 most comfortable. ICU and hospital lengths of stay; All-cause mortality till day 14 Timepoint: 10 mins after extubation 2 hours after initiation of intervention 9 AM on POD 1 1 PM on POD 1 9 AM on POD 2 day 7 day 14—

Countries

India

Contacts

Public ContactDr Haasith Dara

All India Institute Of Medical Sciences, Patna

nishantsahay@gmail.com9431184516

Outcome results

None listed

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