Health Condition 1: O- Medical and Surgical Health Condition 2: I21A- Other type of myocardial infarction
Conditions
Interventions
Intervention1: Alevolar recruitment maneuver: Repeated alveolar recruitment maneuvers are done using vital capacity maneuver ( pressure of 40cm of water for 10 sec ) after cross clamp release , after
Sponsors
Nizams institute of medical sciences
Eligibility
Inclusion criteria
Inclusion criteria: 1) AGE >18years 2) Elective cardiac surgery 3) Surgical intervention performed with CPB, aortic cross-clamping 4) Valvular surgery, coronary surgery, surgery on the ascending aorta 5) Median sternotomy and bi-pulmonary ventilation
Exclusion criteria
Exclusion criteria: 1) Patient refusal 2) Non elective cardiac surgery 3) Previous cardiac surgery 4) Anticipated circulatory arrest. 5) Patients with BMI >30 6) Patients with end-stage chronic kidney disease (defined as need for dialysis) 7) Patients with known respiratory diseases (ongoing respiratory infections, asthma, COPD, OSAS) 8) Patients already intubated before arrival in operating theatre 9) Previous pulmonary resection 10) Patients with a preoperative oxygen saturation 45 mmHg 11) Patients with hepatic disease, defined as elevated liver enzymes (higher than two reference intervals) 12) Patients with pulmonary hypertension (defined as preoperative estimated systolic pulmonary artery pressure >55 mmHg)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the changes in oxygenation in the form of PaO2/FiO2 , pulmonary compliance and haemodynamics in patient who have undergone recruitment maneuvers vs those who did notTimepoint: Primary outcome variables are noted after alveolar recruitment maneuvers after cross clamp release , after sternal closure and in the post operative period | — |
Secondary
| Measure | Time frame |
|---|---|
| 1)To compare the changes in pulmonary compliance and haemodynamics 2)Time to extubation 3)Time to discharge from ICU 4)Pulmonary complications such as pneumonia , pleural effusion , pneumothoraxTimepoint: Secondary outcome variables are noted until the patient is discharged out of the ICU. | — |
Countries
India
Contacts
Public ContactDr Bhuvana satya sesha sai paluri
Nizamâ??s institute of medical sciences
Outcome results
None listed