Injury, Occupational Diseases, Poisoning Respiratory Surgery acute lung injury
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: elective valvular cardiac surgery with cardiopulmonary bypass (CPB).
Exclusion criteria
Exclusion criteria: ¿ Emergency surgeries. ¿ coronary artery bypass graft surgery ¿ patients requiring re-exploration in the immediate postoperative period (within 2hours) ¿ left Ventricular ejection fraction less than 40% ¿ patients with preoperative congestive heart failure, cardiogenic shock , preoperative pulmonary edema ¿ pre-existing severe chronic pulmonary dysfunction (defined as pulmonary disease requiring home oxygen therapy or causing shortness of breath after 1 to 2 flights of stairs) ¿ Morbid obesity ¿ Renally impaired patients with creatinine more than 2 mg/dl
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| ¿The change of Lung ultrasound score LUS from the baseline values for assessment of extra vascular lung water | — |
Secondary
| Measure | Time frame |
|---|---|
| ¿ Oxygenation (po2),oxygenation index (po2/fio2) ¿ Time for extubation ¿ Length of ICU stay | — |
Countries
Egypt
Contacts
Lecturer of anesthesiology