Health Condition 1: Z518- Encounter for other specified aftercare
Conditions
Interventions
Intervention1: High flow nasal cannula preoxygenation: preoxygenation using high flow nasal cannula delivering heated and humidified one hundred percent oxygen at thirty litres per minute for three mi
Sponsors
Postgraduate Institute Of Medical Education and ResearchPGIMER Chandigarh
Eligibility
Inclusion criteria
Inclusion criteria: Adult patients aged eighteen years or above undergoing emergency major abdominal surgery requiring rapid sequence induction under general Anaesthesia and willing to provide written informed consent
Exclusion criteria
Exclusion criteria: patients aged less than eighteen years pregnant patients, body mass index more than thirty five kilogram per square metre need for non invasive ventilation severe hypoxemia at base lin facial or nasal trauma preventing use of high flow nasal cannula or facemask predicted difficult airway severe cardiorespiratory instability or inability to provide informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Lowest oxygen saturation measured by pulse oximetry during the apnoeic period from induction of Anaesthesia until successful tracheal intubationTimepoint: From induction of Anaesthesia until successful tracheal intubation (single intraprocedural assessment) | — |
Secondary
| Measure | Time frame |
|---|---|
| Duration of safe apnoeaTimepoint: From induction of anaesthesia until spo2 falls below 90 percent assessed during induction & intubation (single peri-intubation assessment);Arterial blood gas parameters including partial pressure of oxygen and carbon dioxideTimepoint: baseline before induction and immediately after intubation;Incidence of desaturation episodes during rapid sequence inductionTimepoint: During induction of anaesthesia & upto 1 minute after tracheal intubation | — |
Countries
India
Contacts
Public ContactDr Kamal Kajal
Postgraduate institute of Medical Education and Research Chandigarh
Outcome results
None listed