Health Condition 1: K319- Disease of stomach and duodenum, unspecified
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Age greater than 18 years All patients who have undergone abdominal surgeries of duration more than 3 hrs under GA and requiring post operative mechanical ventilation. BMI less than 40 Kg per m2 ASA Grade I and II
Exclusion criteria
Exclusion criteria: Patients with obstructive or restrictive pulmonary disease Patients for re exploration surgeries Patient with Ejection fraction less than 30 percent Patient with gross electrolyte disturbance Patient with severe bleeding episode during surgery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To measure and compare the duration of mechanical ventilation in patients undergoing elective abdominal surgeries on adaptive supportive ventilation and conventional modes of ventilation ie SIMV ModeTimepoint: 1st Point: Intubation in OT 2nd Point: End of Surgery which will indicate total duration of Surgery as end point in OT 3nd Point: Transfer in ICU. 4th Point: Removal of ET Tube ie Weaning. Duration of ventilation will be difference between admission time in ICU and extubation time ie known as weaning time from the entry into ICU | — |
Secondary
| Measure | Time frame |
|---|---|
| To measure the rate of extubation failure To measure the duration of ICU stay To compare the Tidal Volume, RR, Peak Inspiraotry Pressures, Peak Airway pressure at the time of randomisation versus just before extubation. To measure the PaO2 and FiO2 ratio just before and one hour after extubation To measure and compare the lactate levels one hour post extubation Timepoint: 1.5 years | — |
Countries
India
Contacts
AIIMS PATNA