Recruitment Maneuver Using Lung Ultrasound in Trauma Patients

Evaluation of Efficacy of Recruitment Maneuver Using Lung Ultrasound in Trauma Patients

Status

UNKNOWN

Phases

Study type

Interventional

Source

ClinicalTrials.gov

Registry ID

NCT04008758

Enrollment

Registered

2019-07-05

Start date

2019-08-01

Completion date

2023-12-31

Last updated

2023-03-06

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Recruitment, Trauma

Keywords

recruitment, ultrasound, trauma, pulmonary contusion

Brief summary

In trauma patients, the incidence of pulmonary contusion is frequent. Recruit maneuver using lung ultrasound could be improve oxygenation in trauma populatioin, howevere, there is no previous study. The aim of this study is evaluation of the efficacy of lung recruitment using ultrasound in perioperative period in trauma patients.

Detailed description

In trauma patients, the incidence of pulmonary contusion is 17-75%. Pulmonary contusioin leads to atelectasis, lung consolidatioin. Finally it could results acute respiratory distress syndrome. Lung ultrasound is non-invasive and available in anytime even during surgery. Previous studies showed recruitment maneuver using ultrasound improved postoperative oxygenation in pediatric cardiac surgery. In adults, recruitment maneuver not using ultrasound improved oxygenation after cardiopulmonary bypass. There is no study in adult trauma population. The aim of this study is evaluation of the efficacy of lung recruitment using ultrasound in perioperative period in trauma patients.

Interventions

DIAGNOSTIC_TESTUltrasound

Evaluate participant's lung condition using ultrasound. Using lung ultrasound scoring, more than 1 point needs recruitment maneuver

Study design

Allocation

RANDOMIZED

Intervention model

PARALLEL

Primary purpose

SUPPORTIVE_CARE

Masking

NONE

Intervention model description

Randomized prospective trial 1. st group is sono group using lung ultrasound 2. nd group is control group

Eligibility

Sex/Gender

ALL

Age

19 Years to No maximum

Healthy volunteers

Inclusion criteria

* Who need surgery under general anesthesia due to trauma * The position of the surgery is supine

Exclusion criteria

* Who has been ventilator care before the surgery * Thoracic surgery * Who had cardiopulmonary resuscitation * Who has acute respiratory distress syndrome

Design outcomes

Primary

Measure	Time frame	Description
arterial oxygen partial pressure / fractional inspired oxygen ratio at end of surgery	2 hours	= P /F ratio; Smaller value respresents poor outcome Using arterial blood gas analysis the difference between baseline (immediate after intubation) and end of surgery : If P/F ratio difference is improved compared to baseline, it means recruitment maneuver is effective

Secondary

Measure	Time frame	Description
Lung ultrasound score	2 hours	Using lung ultrasound, evaluate lung condition in both group at end of surgery Scoring using lung ultrasound scoring Scoring range: 0, normal; 1, small loss of aeration; 2, moderate loss of aeration; 4, severe loss of aeration

Countries

South Korea

Contacts

Primary ContactIn Kyong Yi, MD

lyrin01@gmail.com+82-219-7522

Backup ContactHyemin Sohn, MD

sfsohn@aumc.ac.kr+82-219-7521

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026