Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1. Surgery lasting more than 2 hours 2. Patients satisfying American Society of Anesthesiologist Class I ,II and III
Exclusion criteria
Exclusion criteria: 1.Pre existing cognitive dysfunction or delirium 2.Pre existing muscle disorder/weakness like muscular dystrophies 3.Extremity amputation 4.Pre-existing paralysis 5.Pre-existing soft tissue oedema 6.Unwilling to participate in study
Design outcomes
Secondary
| Measure | Time frame |
|---|---|
| To find if there is an association between sarcopenia detected by preoperative point of care ultrasound of rectus femoris muscle & postoperative morbidity in elderly patients undergoing major surgery.Timepoint: The relatives will be explained preoperatively about the morbidity parameters & the telephonic Montreal cognitive assessment scoring & then will be followed telephonically at the end of 1 month post surgery for the following parameters Length of hospital stay more than 7 days Readmission within 30 days Ischemic cardiac event ICU admission for ventilatory support Presence of new-onset cognitive dysfunction as assessed by telephonic Montreal cognitive assessment scoring | — |
Primary
| Measure | Time frame |
|---|---|
| To find the proportion of sarcopenia detected by preoperative point of care ultrasound of rectus femoris muscle in elderly patients undergoing major surgery by measuring: 1. Rectus femoris cross-sectional area (RF-CSA) 2. Rectus femoris muscle thickness (RF-MT)Timepoint: The analysis of above two parameters by Ultrasound will be done in the pre operative room before the OT | — |
Countries
India
Contacts
NKP Salve Institute of Medical Sciences and Research Centre and Lata Mangeshkar Hospital