Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Bundle Group: Preoxygenation in a 25degree head-up position with an FiO2 of 50% on volume controlled ventilation with a tidal volume of 8 ml/kg and a PEEP of 5 cm H2O. Then patients wil
Sponsors
AIIMS Bhubaneswar
Eligibility
Inclusion criteria
Inclusion criteria: Patients posted to surgeries under general anesthesia with duration of surgeries more than or equal to 2 hours belonging to ASA I - III including elective and emergency operations, as well as both laparoscopic and open surgical techniques.
Exclusion criteria
Exclusion criteria: Patient refusal to give consent, patients with BMI more than or equal to 30 kg/m2, with pre-existing lung disease / chest trauma, patients posted for cardiothoracic/lung surgeries, patient not getting extubated within 24 hours of surgery in ICU, Pregnant woman, patients with progressive neuromuscular weakness, chronically bed-ridden, patients posted for redo surgeries.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To compare the incidence of anesthesia induced atelectasis in both groups after surgery using lung aeration score of score more than or equal to 2 by lung ultrasonographyTimepoint: Before induction of anesthesia and after 1 hour of surgery and within 24 hours if patient shifted to ICU intubated | — |
Secondary
| Measure | Time frame |
|---|---|
| To compare the effect of predefined causes for anesthesia induced atelectasis such as age, PEEP, position of surgery, etc.Timepoint: Intraoperative;To compare the incidence of anesthesia induced atelectasis in Laparoscopic & Open surgeriesTimepoint: Before induction of anesthesia and after 1 hour of surgery and within 24 hours if patient shifted to ICU intubated;To compare the incidence of postoperative pulmonary complicationsTimepoint: Seven days postoperatively or till the day of discharge | — |
Countries
India
Contacts
Public ContactDr Avinash R Naik
AIIMS Bhubaneswar
Outcome results
None listed