Health Condition 1: Q208- Other congenital malformations ofcardiac chambers and connections Health Condition 2: Q20-Q28- Congenital malformations of the circulatory system Health Condition 3: I70-I79- Diseases of arteries, arterioles and capillaries Health Condition 4: I05-I09- Chronic rheumatic heart diseases Health Condition 5: I10-I16- Hypertensive diseases Health Condition 6: I20-I25- Ischemic heart diseases Health Condition 7: I26-I28- Pulmonary heart disease and diseases of pulmonary circu
Conditions
Interventions
Intervention1: endotracheal suction assisted lung deflation: after induction of general anaesthesia and endotracheal intubation , patients randomised to the intervention group will undergo lung deflat
Sponsors
NIL
Eligibility
Inclusion criteria
Inclusion criteria: all patients above 18 years of age undergoing elective or emergency surgeries requiring median sternotomy.
Exclusion criteria
Exclusion criteria: redo sternotomy, any procedure where median sternotomy deviates from the mid line, cases that require additional tiem to complete the sternotoimy necessiate resuming ventilation before the sternotomy is finished, history of pneumonectomy or lobectomy, patients with tuberculosis or pnemonia requiring surgical intervention.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| to evaluate the incidence of accidental pleurotomy during median sternotomy by comparing two methods of lung deflation . 1. ventilation disconnection with endotracheal suctioning 2. ventilation disconnection aloneTimepoint: after the completion of median sterrnotomy | — |
Secondary
| Measure | Time frame |
|---|---|
| 1.to compare unilateral and bilateral pleurotomies and note their sidedness 2. access the incidence of p,eurotomy with respect to the direction of sternotomy saw 3. identify the site of pleurotomy in relation to sternum 4. to determine the overall incidence of pleurotomy from all causes 5. to record other intraoperative complication such as hypoxia, sternal fracture , vasucular injury, pericardial injury, cardiac arrest 6. incidence of pleurotomy in relation to smoking history of more then. 10 pack years or in patient diagnosed with chronic obstructive pulmonary disease.Timepoint: after the completion of median sterrnotomy | — |
Countries
India
Contacts
Public Contactkalla krishna prasad gaurav
post graduate institute of medical education and research, chandigarh.
Outcome results
None listed