Health Condition 1: G959- Disease of spinal cord, unspecified Health Condition 2: M471- Other spondylosis with myelopathy
Conditions
Interventions
Intervention1: NIL: NIL
Sponsors
Christian Medical College
Eligibility
Inclusion criteria
Inclusion criteria: i. Adults aged =18 years ii. Cervical spine surgery: Laminectomy, corpectomy, discectomy, cervical spine fusion surgery for degenerative/traumatic indications, cervical spinal tumours (extradural, intradural extramedullary and intramedullary) iii. Surgery for Craniovertebral junction anomalies iv. Cervical spine trauma requiring surgery v. ASA 1, 2 and 3
Exclusion criteria
Exclusion criteria: i.Patient refusal ii. Patients on mechanical ventilation in the preoperative period. iii. Patients with low Glasgow coma scale (less than 8) and unable to obey commands. iv. Patients with preexisting medical conditions causing respiratory dysfunction, including but not limited to Guillain Barre syndrome, motor neuron diseases, and bulbar poliomyelitis. v.Prior history of cardiothoracic surgery vi. Recent upper abdominal surgery in the past six weeks vii. ASA 4 and 5
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Number of patients diagnosed to have diaphragmatic dysfunction by point-of-care ultrasound preoperatively and at 72 hours after surgery Timepoint: preoperative baseline and postoperative 72 hours | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Postoperative respiratory complications like respiratory failure, respiratory infections, respiratory distress, the requirement for non-invasive ventilation, reintubation, and prolonged mechanical ventilation within 30 days of discharge 2. Need for postoperative oxygen supplementation for more than 6 hrs. 3. Association of preoperative functional clinical myelopathy grades like modified Indian Nurick grade and Modified JOA with diaphragmatic dysfunction Timepoint: till hospital discharge and 30 days within discharge | — |
Countries
India
Contacts
Public ContactDr.Bhargavi Vallabhaneni
Christian Medical college
Outcome results
None listed