Health Condition 1: B972- Coronavirus as the cause of diseases classified elsewhere Health Condition 2: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Patients more or equal to 18 years classified as American Society of Anaesthesiologists (ASA) physical status I/II/ III scheduled for elective or emergency extra thoracic surgery under general anaesthesia 2.Minimum 4 week interval between COVID-19 infection and the scheduled surgery 3.Pulmonary involvement during COVID -19 infection as evident by dyspnea or hypoxemia, chest Xray/CECT findings or oxygen requirement
Exclusion criteria
Exclusion criteria: 1.Post COVID-19 without pulmonary symptoms/radiological involvement/oxygen requirement/undiagnosed COVID. 2.Patients with history or clinical signs of lung disease before COVID-19 infection 3.Patients on ongoing immunosuppression by drugs for underlying condition 4.Elevated leukocyte count or clinical signs of a systemic infection 5.Intra-thoracic surgery 6.ASA class IV
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To monitor proinflammatory cytokine responses as an estimate of lung inflammation/injury during mechanical ventilation in COVID-19 survivors who had pulmonary involvementTimepoint: baseline, at the end of surgery, 1 hour after the surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| .To determine incidence of post-operative pulmonary complications (POPC) in patients of general anesthesia with mechanical ventilation .To determine whether serum and bronchoalveolar lavage fluid (BALF) biomarkers are capable of identifying patients at risk of POPC .To determine the correlation between CT score of pulmonary involvement with the serum and BALF biomarkers of lung injury .To assess difference in length of hospital stay of the patients in both groups Timepoint: 7 days and 6 months | — |
Countries
India
Contacts
AIIMS, New Delhi