Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: POSITIVE END EXPIRATORY PRESSURE(PEEP): PEEP IS KEPT AT 4 CM OF H20 OR 8 CM OF H20.
Control Intervention1: POST OPERATIVE ATELECTASIS: BY USING INTERVENTION, DEVELOPMENT OF POST OPERATI
Sponsors
DR SYED HAZARATH NABI
Eligibility
Inclusion criteria
Inclusion criteria: PATIENT OLDER THAN 18 YRS OF AGE AND UNDERGOING OPEN ABDOMINAL SURGERY OF EXPECTED DURATION MORE THAN 2 HOURS. PATIENTS WITH AMERICAN SOCIETY OF ANAESTHESIOLOGISTS(ASA) PHYSICAL STATUS 1 - 3 AND BODY MASS INDEX LESS THAN 35Kg/meter2.
Exclusion criteria
Exclusion criteria: LAPAROSCOPIC SURGERIES PREVIOUS LUNG OR THORACIC SURGERIES PERSISTANT HAEMODYNAMIC INSTABILITY HISTORY OF COPD SYSTEMIC CORTICOSTERIOD THERAPY RECENT IMMUNOSUPPRESSIVE MEDICATION AND RADIOTHERAPY SEVERE CARDIAC DISEASE AS NYHA CLASS 3 -4 PREGNANCY ACUTE LUNG INJURY OR ARDS
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| TO COMPARE THE EFFECT OF POSITIVE END EXPIRATORY PRESSURE UNDER GENERAL ANAESTHESIA FOR OPEN ABDOMINAL SURGERIES MORE THAN 2 HOURS OF DURATION ON POST OPERATIVE ATELECTASISTimepoint: LUNG ULTRASOUND IS PERFORMED IN PREOPERATIVE ROOM BEFORE SURGERY AND 30 MINUTES AFTER THE SURGERY | — |
Secondary
| Measure | Time frame |
|---|---|
| TO DETERMINE THE DEGREE AND INCIDENCE OF HYPOTENSION DURING THE INTRAOPERATIVE MECHANICAL VENTILATION TO DETERMINE THE INCIDENCE OF INCREASED AIRWAY PRESSURES AND BAROTRAUMA DURING INTRAOPERATIVE MECHANICAL VENTILATIONTimepoint: ASSESSMENT WILL BE DONE INITIALLY FOR EVERY 5 MINUTES FOR 30 MINUTES INTIALLY FOLLOWED BY EVERY 15 MINUTES TILL THE END OF SURGERY. | — |
Countries
India
Contacts
Public ContactDR SYED HAZARATH NABI
SRI DEVARAJ URS MEDICAL COLLEGE
Outcome results
None listed