Respiratory complications after abdominal surgery. Acute pulmonary insufficiency following nonthoracic surgery
Conditions
Interventions
Intervention 1: Intervention group: After suctioning and doing arterial blood gases and chest X-ray, for two hours, hyperinflation were done. At the end of two hours, all parameters were at the begi
Treatment - Other
Intervention group: After suctioning and doing arterial blood gases and chest X-ray, for two hours, hyperinflation were done. At the end of two hours, all parameters were at the beginning of interv
Control group: All actions in the intervention group without executing the manual lung hyperinflation were done.
Sponsors
Vice chancellor for research, Mashhad University of Medical Sciences
Eligibility
Sex/Gender
All
Age
18 Years to 85 Years
Inclusion criteria
Inclusion criteria: Inclusion Criteria: Patients are older than 18; Lack of pulmonary disorders such as Acute respiratory distress syndrome, pneumothorax, acute pulmonary edema and hemoptysis; Absence of acute infection; No history of acute Cardiovascular disorders; Patients underwent abdominal surgery; Patients should be supported by t-tube after weaning mechanical ventilation at least 2 hours; No emergency surgery or Cardiopulmonary resuscitation(CPR) before intervention; Having the ratio of partial pressure arterial oxygen and fraction of inspired oxygen more than 200; Absence of electrolyte disorders. Exclusion Criteria: Need to get Cardiopulmonary resuscitation (CPR); Need to support by mechanical ventilation; Rise in Intracranial Pressure (ICP); Severe hemodynamic impairment; Lack of patients cooperation such as agitation; Patients who Need to reoperation or extubation
Exclusion criteria
Exclusion criteria:
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Partial pressure of Oxygen (PaO2). Timepoint: Before, 5 and 20 minutes after intervention. Method of measurement: Arterial blood gas samples.;PaCO2. Timepoint: Before, 5 and 20 minutes after intervention. Method of measurement: Arterial blood gas samples.;Estimate of arterial oxygen saturation(SaO2). Timepoint: Before, 5 and 20 minutes after intervention. Method of measurement: Palse oxymetery.;Scoring atelectasis. Timepoint: Before and after intervention. Method of measurement: Chest X ray.;Ratio of partial pressure arterial oxygen and fraction of inspired oxygen(PaO2/FiO2). Timepoint: Before, 5 and 20 minutes after intervention. Method of measurement: Putting data in the formula.;Ratio of respiratory frequency to tidal volume( RSBI). Timepoint: Before, 5 and 20 minutes after intervention. Method of measurement: Putting data in the formula. | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactJavad Malekzadeh
Mashhad University of Medical Sciences and Health Services
Outcome results
None listed