Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: Endotracheal intubation: Direct laryngoscopy will be performed with an appropriate size Macintosh blade and Endotracheal tube (ETT) will be placed. The ETT will then be connected to the
Sponsors
Uttarpradesh University of medical sciences
Eligibility
Inclusion criteria
Inclusion criteria: 1.patients undergoing Laproscopic abdominal surgeries 2.Body mass index between 18.5 to 24.9 kg per m2 3.American society of Anaesthesiologists physical status class 2 4.History of Diabetes mellitus for atleast 5 years or more with controlled blood sugar levels.
Exclusion criteria
Exclusion criteria: 1. Patient s refusal 2. Baseline gastric volume more than 1ml per kg on the morning of surgery 3.Diagnosed cases of gastric esophageal reflux disease 4. Anticipated difficult airway 5. Chronic treatment with opioids, steroid, immunosuppresants, chemotherapy, drugs affecting gastric motility or gastric volume 6. Neurological or psychiatric conditions affecting gastric motility 7. Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Comparison of change in perioperative gastric volume using USG guided antral cross sectional area measurement in both the groups.Timepoint: baseline (preoperative), just after securing airway, and at the end of surgery before extubation. | — |
Secondary
| Measure | Time frame |
|---|---|
| Comparison of Postoperative gastrointestinal recovery Timepoint: Time to start clear fluids ( When patient restore atleast 2 bowel sounds per minute). Time to start Light diet ( When patient restore normal bowel sounds i.e., more than 5 sounds per minute). Time to First gas discharge ( flatus) Time to Achieve first bowel movement. All these parameters will be measured from the time of extubation.;Measurement of hemodynamic parameters- heart rate, systolic blood pressure, diastolic blood pressure, mean arterial pressure (MAP).Timepoint: At baseline (preoperative), just after securing airway, at pneumoperitoneum, and at end of surgery before extubation.;Measurement of intraoperative ventilatory parameters :Leak volume, leak fraction, Peak airway pressure, Plateau pressure, EtCO2.Timepoint: Just after securing airway, at pneumoperitoneum, and at end of surgery before extubation;Degree of gastric distension Timepoint: On insertion of laparoscope.;Postoperative events Timepoint: In 24 hours after extubation | — |
Countries
India
Contacts
Public ContactUsha Shukla
Uttar Pradesh University of Medical Sciences
Outcome results
None listed