Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Recruitment followed High PEEP.
Duration: Recruitment for 30 seconds, High PEEP throughout the surgery: Recruitment will be done by sustained inflation technique, in which a continuous
Sponsors
All India Institute of Medical Sciences
Eligibility
Inclusion criteria
Inclusion criteria: Adults with blunt thoracic trauma undergoing non thoracic surgery under general anaesthesia with mechanical ventilation.
Exclusion criteria
Exclusion criteria: a) Patient refusal to participate in the study b) Known COPD or other chronic lung diseases. c) Patients with penetrating thoracic trauma. d) Pre existing cardiac dysfunction. e) Patients undergoing thoracic or cardiac surgery. f) Presence of uncontrolled arrhythmias or significant hemodynamic instability. g) Moderate to severe traumatic brain injury. h) Pregnancy I) Patients already intubated and ventilated for more than 24 hours prior to surgery
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Mechanical power differences between low PEEP and recruitment followed high PEEP groups during intra operative ventilationTimepoint: After Induction, every 30 minutes and at the end of surgery. | — |
Secondary
| Measure | Time frame |
|---|---|
| To assess differences in respiratory mechanicsTimepoint: After induction, every 30 minutes and at the end of surgery.;To evaluate oxygenationTimepoint: After induction, every 30 minutes and at the end of surgery.;To compare hemodynamic effectsTimepoint: After induction, every 30 minutes and at the end of surgery.;To assess post operative pulmonary complicationsTimepoint: Upto 48 hours after surgery | — |
Countries
India
Contacts
Public ContactDr. Abhishek Singh
AIIMS New Delhi
Outcome results
None listed