Ultrasound guided lung recruitment to improve lung health in infants undergoing anorectal surgery under general anaesthesia.

A randomised controlled study for effectiveness of ultrasound guided regular alveolar recruitment upon pre-extubation lung atelectasis in pediatric population below 2 years of age, undergoing posterior sagittal anorectoplasty surgery. - NIL

Status

Active, not recruiting

Phases

Phase 2

Study type

Interventional

Source

CTRI

Registry ID

CTRI/2025/03/083178

Enrollment

Registered

2025-03-24

Start date

Unknown

Completion date

Unknown

Last updated

2025-04-07

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Health Condition 1: Q423- Congenital absence, atresia and stenosis of anus without fistula

Interventions

Intervention1: Comparing the hourly regular lung recruitment manoeuvre along with the baseline ultrasound guided lung recruitment manoeuvre in group A, with the single baseline ultrasound guided lung

Eligibility

Inclusion criteria

Inclusion criteria: 1. Consenting parents or guardians. 2. patient posted for elective Posterior Sagittal Anorectoplasty. 3. surgery duration more than 1 hour. 4. ASA grade 1 and 2.

Exclusion criteria

Exclusion criteria: 1. Patient who is a part of any other study. 2. Non-consenting parent/guardian. 3. Patients with previous thoracic surgery. 4. History of lung disease, airway anomalies, or airway infection

Design outcomes

Primary

Measure	Time frame
1. Mean consolidation score of various lung regions. 2. Mean B-line score of various lung regions.Timepoint: 1. baseline supine scan- after induction of general anaesthesia. (0 min) 2. baseline prone scan - after prone positioning of the patient. (5min) 3. At 1hr, 2hr till surgery is complete.	—

Secondary

Measure	Time frame
1. Mean number of episodes of Desaturation (SpO2 less than 95%) during mechanical ventilation, emergence from general anaesthesia, and the postoperative period (upto 12 hours). 2. Mean episodes of hypotension during alveolar recruitment. Timepoint: 1. Heart rate, SBP, DBP and SpO2 noted at baseline (Pre operative), 0 min (baseline alveolar recruitment), 10 min, 20 min, 30 min, 40 min, 50 min, 60 min ( alveolar recruitment manoeuvre in experimental group), 70 min, 80 min, after extubation, every 15 mins in PACU.	—

Measure

Time frame

1. Mean number of episodes of Desaturation (SpO2 less than 95%) during mechanical ventilation, emergence from general anaesthesia, and the postoperative period (upto 12 hours). 2. Mean episodes of hypotension during alveolar recruitment. Timepoint: 1. Heart rate, SBP, DBP and SpO2 noted at baseline (Pre operative), 0 min (baseline alveolar recruitment), 10 min, 20 min, 30 min, 40 min, 50 min, 60 min ( alveolar recruitment manoeuvre in experimental group), 70 min, 80 min, after extubation, every 15 mins in PACU.

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Countries

India

Contacts

Public ContactNeelam Dogra

Sawai Man Singh Medical College and Hospital, Jaipur

neelam_dogra24@yahoo.com9928709289

Outcome results

None listed

Source: CTRI (via WHO ICTRP) · Data processed: Feb 4, 2026