Health Condition 1: - Health Condition 2: O- Medical and Surgical
Conditions
Interventions
Intervention1: Nil: Nil
Sponsors
Harman Preet Singh Kalra
Eligibility
Inclusion criteria
Inclusion criteria: 1.Patients posted for elective surgeries under general anaesthesia. 2.ASA grades I and II.
Exclusion criteria
Exclusion criteria: 1.Surgical procedures performed in critical or urgent situations. 2.Patients with pre existing pulmonary diseases. 3.Patients with phrenic nerve paralysis. 4.Patients with Neuromuscular disorders such as Myasthenia Gravis etc.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To determine accuracy of train of four ratio and ultrasound derived diaphragm excursion as an indicator of reversal of neuromuscular blockade.Timepoint: The TOF will be calculated at the baseline before induction and before extubation when spontaneous respiration returns. The diaphragm excursion will be measured as the vertical movement of the right hemidiaphragm during quiet spontaneous breathing, before the induction of the patient and before extubation, on return of spontaneous respiration and in the post operative room at different times (15 mins, 30 mins, 45 mins). | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.To assess reversal of neuromuscular blockade at the end of surgery by these two methods 2.To determine the prevalence of postoperative respiratory complications (PORC) if any in the immediate postoperative period. 3.To observe for any persistence of NM blockade after use of neostigmine in patients by measuring the diaphragmatic excursion at baseline, prior to extubation of the patient, at 10 mins in the PACU, at 15 mins & at 30 mins in the PACU. Timepoint: Diaphragmatic Excursion to be measured at baseline, prior to the extubation, at 10 mins in the PACU, at 15 mins in the PACU & at 30 mins in the PACU. | — |
Countries
India
Contacts
Public ContactHarman Preet Singh Kalra
Rohilkhand Medical College and Hospital, Bareilly
Outcome results
None listed