Health Condition 1: K87- Disorders of gallbladder, biliarytract and pancreas in diseases classified elsewhere
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Age- 18-65 years Both genders American society of anaesthesiologist (ASA) physical status I-II Posted for routine lap cholecystectomy
Exclusion criteria
Exclusion criteria: Patient refusal Cardiopulmonary diseases Pregnancy & lactating mothers Conversion into open cholecystectomy due to any reason Gross anatomical deformities of the chest Patients with chronic obstructive pulmonary disease
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Change in the regional distribution of tidal variation (TV ROI %) 2. Regional change of end expiratory lung impedance (EELI - % win /% loss) Timepoint: 1. Change in the regional distribution of tidal variation (TV ROI %) 2. Regional change of end expiratory lung impedance (EELI - % win /% loss) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Number of patients requiring oxygen supplementation in the postoperative periodTimepoint: Regional lung ventilation, collapse and overdistension will be monitored by using Drager Pulmovista 500 (model, country name) at pre induction (T0), induction (T1), during abdominal CO2 insufflation(T2) , at the end of the surgery(T3) and in the post operative period at 15 minutes(T4),30 minutes(T5) and 1 hour(T6). Recruitment will be given based on the regional ventilation, collapse and overdistension as seen on EIT monitor .RAMP technique will be used for recruitment that is progressive increase in airway pressure up to 40 cm H2O reached at 40 seconds after the onset of inflation. | — |
Countries
India
Contacts
AIIMS Mangalagiri