Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Lung recruitment manoeuvre: Ultrasound guided assessment of lung atelectasis is made and lung recruitment is done using incremental PEEP method. Lung recruitment will be carried out 5 m
Sponsors
Maulana Azad Medical College
Eligibility
Inclusion criteria
Inclusion criteria: 1. ASA physical health status 1 and 2 2. Laparoscopic abdominal surgeries with expected duration of atleast one hour
Exclusion criteria
Exclusion criteria: 1. Patients with pre-existing lung disease, cardiovascular disease 2. patients with abnormal preoperative chest radiographs 3. patients with previous history of thoracic surgery 4. Surgeries requiring Trendelenburg position 5. Pregnancy 6. Morbid obesity (BMI more than 30 kg/m2) 7. Patients with increased intracranial pressure
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Degree of lung atelectasis as assessed by lung ultrasound score at the end of surgery, with and without recruitment manoeuvre.Timepoint: Time point T3 (at the end of surgery). | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Degree of lung atelectasis as assessed by lung ultrasound score at preoperative period, post-pneumoperitoneum and in post-anaesthesia care unit. 2. Incidence of intraoperative desaturation (SpO2 less than or equal to 94%) 3. Hemodynamic instability during recruitment manoeuvreTimepoint: Time points - T1(preoperative period), T2(post-pneumoperitoneum), T4(in post-anaesthesia care unit) | — |
Countries
India
Contacts
Public ContactDr Sajid K P
Maulana Azad Medical College
Outcome results
None listed