Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: PEEP selection: driving pressure guided PEEP selection and maintaining the individualised PEEP till the end of surgery
Control Intervention1: constant peep: constant peep of 5 till the
Sponsors
POSTGRADUATE INSTITUTE OF MEDICAL EDUCATION AND RESEARCH
Eligibility
Inclusion criteria
Inclusion criteria: 18 – 65 years of age ASA PS I to III Elective upper abdominal surgeries under GA with >2 hours duration
Exclusion criteria
Exclusion criteria: Patients with BMI >35 kg/m2 K/c/o COPD, bronchial asthma, pleural effusion or neuromuscular dysfunction. H/o thoracic surgeries or any chest wall deformity. Any organ failure - renal failure, hepatic failure & congestive heart failure.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To assess the lung ultrasound score for atelectasis 30 minutes after extubation.Timepoint: 30 minutes after extubation. | — |
Secondary
| Measure | Time frame |
|---|---|
| Anterior LUS post induction & pre-extubation.Timepoint: intraoperative period;Arterial blood gas – pH, PaO2/FiO2 ratio, PaCO2, HCO3 (before induction(baseline), end of surgery & 30 min after extubation)Timepoint: intraoperative ,postoperative period;Incidence of postoperative pulmonary complications (at 24 hours, Melbourne group scale)Timepoint: 24 hours postoperative period;Incidence of re-intubations & postoperative ICU admissions. Timepoint: postoperative period;Respiratory mechanics – DP, plateau pressure, PEEP, lung compliance, SpO2, EtCO2 & FiO2 (post-induction before ventilation protocol (VP), 30 min after VP, 30 min before end of surgery). Timepoint: intraoperative period | — |
Countries
India
Contacts
Public ContactDr Ishwar Bhukal
Postgraduate Institute Of Medical Education and Research
Outcome results
None listed