Health Condition 1: I089- Rheumatic multiple valve disease,unspecified Health Condition 2: I099- Rheumatic heart disease, unspecified Health Condition 3: I259- Chronic ischemic heart disease, unspecified Health Condition 4: I279- Pulmonary heart disease, unspecified Health Condition 5: I349- Nonrheumatic mitral valve disorder, unspecified Health Condition 6: I358- Other nonrheumatic aortic valve disorders Health Condition 7: I369- Nonrheumatic tricuspid valve disorder, unspecified Health Conditi
Conditions
Interventions
Intervention1: Endotracheal suctioning during ventilator disconnection: After induction of general anesthesia and before median sternotomy, the ventilator will be briefly disconnected and endotracheal
Sponsors
Dr Aseem Gargava
Eligibility
Inclusion criteria
Inclusion criteria: Patients aged 18 65 years undergoing elective cardiac surgery via median sternotomy under general anesthesia. Patients with ASA physical status I III. Patients willing to participate and providing written informed consent.
Exclusion criteria
Exclusion criteria: Patient refusal,Patients with risk of aspiration,Pregnancy
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of pleural space violation during median sternotomy in patients undergoing elective cardiac surgery.Timepoint: Incidence of pleural space violation during median sternotomy in patients undergoing elective cardiac surgery. | — |
Secondary
| Measure | Time frame |
|---|---|
| Changes in intraoperative hemodynamic parameters (SBP, DBP, MAP, heart rate).Timepoint: 5 minutes before sternotomy, 3 minutes before sternotomy, 1 minute before sternotomy, 1 minute after sternotomy, and 1 minute after application of sternal retractor.;Intraoperative blood loss and chest drain output.Timepoint: Intraoperatively and within the first 24 hours postoperatively.;Changes in oxygen saturation (SpO2) during ventilator disconnection.Timepoint: During ventilator disconnection and immediately after sternotomy.;Incidence of postoperative pulmonary complications (atelectasis, pneumothorax, pleural effusion).Timepoint: Within 24 48 hours after surgery. | — |
Countries
India
Contacts
Public ContactDr Aseem Gargava
Gandhi Medical College
Outcome results
None listed