Exta Vascular Lung Water
Conditions
Brief summary
Fast-tracking in cardiac surgery refers to early extubation to reduce costs and perioperative morbidity. The use of lung ultrasound is recently accepted as a tool in the assessment of several lung conditions. The aim of this study was to assess the use of lung ultrasound score as a quantitative method to assist in the decision of early extubation.
Detailed description
background: Fast-tracking in cardiac surgery refers to early extubation to reduce costs and perioperative morbidity. The use of lung ultrasound is recently accepted as a tool in the assessment of several lung conditions. The aim of this study was to assess the use of lung ultrasound score as a quantitative method to assist in the decision of early extubation. Methedology: in this prospective, observational study, 45 pediatric patients who will go elective repair of congenital acyanotic heart diseases were included and were examined with Lung ultrasound together with arterial blood gases preoperative and postoperative and given a score range from 0-3 according to number of B lines in each region and sensitivity of post-operative lung ultrasound score to extubation within 6 hours was examined Demographic data: Patients' name, age, sex, diagnosis, relevant medical and surgical history. And Assessment data: Baseline arterial blood gases and lung ultrasound score assessment after induction of anesthesia and at the end of surgery. Primary outcome will be the sensitivity of lung ultrasound scores immediately at the end of pediatric cardiac operation in prediction of extubation. and Secondary outcome will be correlation between lung ultrasound score and Po2/Fio2 ratio at the end of operation
Interventions
DIAGNOSTIC_TESTLung ultrasound examination
45 pediatric patients who will go elective repair of congenital acyanotic heart diseases will be included and will be examined with Lung ultrasound together with arterial blood gases preoperative and postoperative and given a score range from 0-3 according to number of B lines in each region and sensitivity of post-operative lung ultrasound score to extubation within 6 hours was examined.
Sponsors
Kasr El Aini Hospital
Study design
Observational model
COHORT
Time perspective
PROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
6 Months to 7 Years
Healthy volunteers
No
Inclusion criteria
* were Age 6 months to 7 years * Patients suffering from Acyanotic congenital heart diseases.
Exclusion criteria
* Age is less than 6 months and more than 7 years, * Preoperative mechanical ventilation, * Preoperative inotropic support., * Trisomy 21, * Patient with cyanotic heart diseases * Coagulopathy INR \>1.5
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the sensitivity of lung ultrasound scores | immediately at the end of pediatric cardiac operation | the sensitivity of lung ultrasound scores immediately at the end of pediatric cardiac operation in prediction of extubation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| correlation between lung ultrasound score and Po2/Fio2 ratio | immediatly at the end of pediatric cardiac operation until 6 hours post operative until extubatiioon | correlation between lung ultrasound score and Po2/Fio2 ratio at the end of operation |
Countries
Egypt
Outcome results
None listed