Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.Patients aged 18 to 70 years 2.ASA physical status 1 and 2 3.Scheduled for elective lumbar spine surgery requiring prone positioning 4.Informed written consent obtained
Exclusion criteria
Exclusion criteria: 1. ASA physical status 3 or above 2. Pre existing pulmonary disease 3. Significant cardiovascular disease 4. Obesity defined as BMI greater than 35 5. Emergency surgery 6. Severe hepatic or renal impairment
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Pulmonary Mechanics measured as 1.Delivered tidal volume 2.Minute ventilation 3.Peak inspiratory pressure 4.Plateau pressure 5.End-tidal CO2Timepoint: Baseline, 10 minutes, 30 minutes, 60 minutes after prone positioning, Immediate postoperative period | — |
Secondary
| Measure | Time frame |
|---|---|
| Hemodynamics measured as 1.Heart rate 2.Systolic BP 3.Diastolic BP 4.Mean arterial pressureTimepoint: Baseline, 10 minutes, 30 minutes, 60 minutes after prone positioning, Immediate postoperative period;Stress response measured as Glucose Random Blood SugarTimepoint: Baseline, 10 minutes, 30 minutes, 60 minutes after prone positioning, Immediate postoperative period;Oxygenation measured as 1.PaO2 2.PaCO2 3.pH 4.SpO2 Timepoint: Baseline, 10 minutes, 30 minutes, 60 minutes after prone positioning, Immediate postoperative period;Intraoperative blood loss measured as Suction Volume Minus Irrigation in ml plus Gauze Weight in gramsTimepoint: Baseline, 10 minutes, 30 minutes, 60 minutes after prone positioning, Immediate postoperative period | — |
Countries
India
Contacts
Sri Siddhartha Medical College Tumkur