Anesthesia
Conditions
Keywords
anaesthetic modality, Lung
Brief summary
A prospective, observational, monocentric study aimed at identifying ultrasound changes in anaesthesia on the pulmonary parenchyma after knee arthroplastic surgery using the LUS score in the preoperative, immediate post-operative (D0) and late post-operative (D1) periods.
Detailed description
Post-operative pulmonary complications are responsible from morbidity and mortality close to cardiovascular complications. Perioperative and post-operative respiratory changes are secondary to anaesthesia (general anaesthesia, elongated position, tidal volume) and to surgery in particular abdominal and cardiothoracic surgery. Several risk factors related to patients were identified: age, ASA score\> 2, functional dependence, chronic obstructive pulmonary disease, congestive heart failure, obesity, smoking. Pulmonary ultrasound is a simple and rapid means of monitoring, widely used in resuscitation and developing in anaesthesia. The hypothesis of the study is that anaesthesia and / or ventilation is responsible for lung lesions observable by ultrasound from the recovery room, even after extra-thoracic surgeries. To do this, it will perform 3 pleuro-pulmonary ultrasound scans, preoperatively on the day of surgery, post-operatively in the recovery room and the day after surgery. LUS score will be calculated. Preoperative data (morphology, comorbidities), preoperative (ventilation, filling, position, type of anaesthesia - general anaesthesia with intubation or laryngeal mask, spinal anaesthesia- , type of surgery) and postoperative data (constants, oxygen therapy, complications) will be collected.
Interventions
DIAGNOSTIC_TESTpleuropulmonary ultrasound
three pleuro-pulmonary ultrasound scans will be performed, preoperatively on the day of surgery, post-operatively in the recovery room and the day after surgery
Sponsors
University Hospital, Toulouse
Study design
Observational model
CASE_CONTROL
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
No
Inclusion criteria
* Patient undergoing scheduled primary knee arthroplasty : * Partial knee replacement surgery * Total knee replacement surgery • Type of Anaesthesia * General anaesthesia with orotracheal intubation * General anaesthesia with laryngeal mask * Spinal anaesthesia * Major Patient * Oral non opposition collected after oral information of the study
Exclusion criteria
* Refusal to participate * Preoperative pleural pathology (pleural effusion, pleural symphysis) * Pregnancy * Patient under authorship or curators * non-affiliation to a social security scheme
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| lung lesions by the anaesthetic and operative management after knee replacement surgery | 10 minutes before surgery | Describe lung lesions by the anaesthetic and operative management after knee replacement surgery |
Countries
France
Contacts
Primary ContactFabrice FERRE, MD
Backup ContactLAETITIA BOSCH, MD
Outcome results
None listed