Health Condition 1: O- Medical and Surgical
Conditions
Interventions
Intervention1: driving pressure guided PEEP to patients undergoing laparoscopic cholecystectomy: Group DP: Patients (n=30) will be ventilated with driving pressure based PEEP.Lung
ultrasound will be d
Sponsors
Department of Anaesthesiology Pt BD Sharma PGIMS Rohtak
Eligibility
Inclusion criteria
Inclusion criteria: ASA 1 and 2 patients undergoing laparoscopic cholecystectomy
Exclusion criteria
Exclusion criteria: Refusal by patient, History of COPD or asthma, History of other significant respiratory disease, History of any cardiac illness ASA grade 3 or higher, BMI more than 35 kg/m2. Significant medical disease. Any life-threatening medical complication
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| To measure change in lung ultrasound score (LUS) for pulmonary atelectasis in patients of laparoscopic cholecystectomy surgeries under general anaesthesia with moderate and driving pressure guided positive end expiratory pressuresTimepoint: 0min, 10min, 20min, 40min, 60min | — |
Secondary
| Measure | Time frame |
|---|---|
| The LUS score will be used to determine the amount of aeration loss.Timepoint: A basic grading system will be used to provide a score of 0-3 to each of the 12 quadrants. The lung ultrasound score (LUS) will be calculated at preoperative and post operative of all subjects. Each of the 12 quadrants was assigned a score of 0 to 3 according to a simple grading system: O - normal lung sliding with fewer than three single B lines; 1- three or more single B lines; 2-coalescent B lines; and 3 - consolidated lung. The LUS score (0-36) will be determined by summing the scores from each of the 12 quadrants, with larger values indicating more severe aeration loss. | — |
Countries
India
Contacts
Public ContactDr Riya bose
PGIMS rohtak
Outcome results
None listed