Health Condition 1: S340- Concussion and edema of lumbar andsacral spinal cord
Conditions
Interventions
Intervention1: High flow nasal cannula and Conventional oxygen therapy: Group A will receive HFNC therapy 0.4 FiO2 at 40 lpm for next 3 hours after extubation.
Group B patients will receive conventi
Sponsors
Postgraduate Institute of Medical Education and Research
Eligibility
Inclusion criteria
Inclusion criteria: Spine instrumentation for trauma and /or any pathology below fifth thoracic vertebra in prone position under GA. ASA I to III physiological status.
Exclusion criteria
Exclusion criteria: Patient refusal. Obesity( BMI >30). known case of respiratory disease including bronchial asthma,COPD,TB,pneumonia. Inability to keep arterial oxygen saturation above 94% without supplemental oxygen. Paitent with blunt trauma chest and severe brain injury. Patient with prior endotracheal and/or chest drain tube.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare PaO2/FiO2 ratio at the end of three hours of oxygen therapy in between group A(HFNC 0.4 FiO2,40lpm),and group B(venturi mask 0.4 FiO2,10 lpm)following thoraco-lumbar spine surgery.Timepoint: baseline, immediate postoperative period, 3hrs, 6hrs and 24 hr | — |
Secondary
| Measure | Time frame |
|---|---|
| To compare the changes in P/F ratio,lactate values,lung ultasound scores at different time intervals,to compare the physiological variables like heart rate,respiratory rate,mean arterial pressure in post operative period,to observe any adverse events like PONV,SSI in postoperative period,to konw the comprison of incidences of patients developing clinically relevant postoperative hypoxaemia during study period in between groups.Timepoint: Pre intubation(baseline),at the end of surgery,3 hrs,6hrs,24 hrs after surgery in between the groups | — |
Countries
India
Contacts
Public ContactDr Shyam Charan Meena
Post Graduate Institute of Medical Education and Research
Outcome results
None listed