Health Condition 1: I00-I99- Diseases of the circulatory system
Conditions
Interventions
Control Intervention1: Nil: Nil
Sponsors
Gandhi Medical College
Eligibility
Inclusion criteria
Inclusion criteria: Undergoing elective major cardiac surgery (e.g., coronary artery bypass grafting, valve replacement/repair, or combined procedures) with Cardiopulmonary bypass with planned postoperative ventilation in the ICU. Written informed consent obtained
Exclusion criteria
Exclusion criteria: Pregnant patients Prior thoracic surgery or patients with diaphragmatic paralysis. Emergency or redo cardiac surgery Inability to obtain quality ultrasound window Patient with preexisting peak ventilatory pressures of more than 35cm H2O
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. To evaluate the effectiveness of ultrasound-guided lung recruitment maneuvers by comparing pre and post recruitment lung ultrasound score (LUS) and PaO2 and Fi02 ratio 2. To assess real time changes in lung aeration during ultrasound guided recruitment maneuvers in terms of reduction of Lung Ultrasound Score (LUS)Timepoint: Baseline immediate post operatively followed by every 12 hours | — |
Secondary
| Measure | Time frame |
|---|---|
| To determine the incidence of Postoperative Pulmonary Complications (PPCs)Timepoint: After discharge of patient;To record any complications related to recruitment maneuvers, such as new-onset pneumothorax, significant hemodynamic instability (hypotension or arrhythmia) during the maneuver, or barotrauma in view of the safety profileTimepoint: During recruitment;To determine ICU resource utilization outcomes, such as ICU length of stay & requirement of oxygen & duration of mechanical ventilationTimepoint: After discharge of patient | — |
Countries
India
Contacts
Public ContactVastvikta
Hamidia Hospital, Gandhi Medical College,Bhopal
Outcome results
None listed