Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: American society of Anaesthesia (ASA) class I to III, undergoing abdominal surgery under general anaesthesia.
Exclusion criteria
Exclusion criteria: Refusal to consent for the procedure. Patients with severely compromised lung function. Patients with any known cardiac disease. Patient already on mechanical ventilation. Patients in shock. Patient with altered mental status.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To study the proportion of geriatric patients with diaphragmatic weakness, as assessed by ultrasound, requiring post-operative mechanical ventilation after abdominal surgery under general anaesthesiaTimepoint: immediately after surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| To study and compare the change in the diaphragmatic function from the preoperative period to post-operative period in geriatric patients undergoing abdominal surgery under general anaesthesiaTimepoint: From before to after the surgery;To study the association of the ultrasound guided diaphragmatic function in the pre and postoperative period with the need for post- operative mechanical ventilation in geriatric patients undergoing abdominal surgery under general anaesthesiaTimepoint: Before the surgery;To study the association of the ultrasound guided diaphragmatic function in the preoperative and post-operative period with the development of post-operative pulmonary complications in immediate postoperative period as assessed by lung ultrasoundTimepoint: 1 hour after the surgery;To study the association of the ultrasound guided diaphragmatic function in the preoperative period with the preoperative Mini Nutritional Assessment (MNA) score in geriatric patients undergoing abdominal surgery under general anaesthesiaTimepoint: immediately after surgery;To study the impact of epidural analgesia on change in diaphragmatic function from the preoperative period to post-operative period in geriatric patients undergoing abdominal surgery under general anaesthesiaTimepoint: Immediately after surgery;To study the association of pre-operative and post-operative diaphragmatic function with post-operative arterial blood gasesTimepoint: 1 hour after surgery;To study the association of pre-operative and post-operative diaphragmatic function with incidence of delayed extubationTimepoint: 1 hour after surgery;To study the association of pre-operative and post-operative diaphragmatic function with patient outcome i.e. recovery, prolonged hospital stay, prolonged ICU stay, mortalityTimepoint: 7 days | — |
Countries
India
Contacts
All India Institute of Medical Sciences,Rishikesh