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Effect of increasing lung pressure during anaesthesia for major operations of belly

Not Applicable
Conditions
Health Condition 1: K00-K95- Diseases of the digestive system
Registration Number
CTRI/2019/07/020009
Lead Sponsor
All India Institute Of Medical Sciences
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

ASA physical status 1 and 2

Elective Major Abdominal Surgery( >2 hours) under General Anaesthesia

Exclusion Criteria

1.Patients rfefusal to participate in the study.

2.Patients undergoing emergency laparotomy.

3.Known COPD or chronic lung diseases.

4.Known deformity of chest wall or thoracic spine.

5.Pre-existing significant cardiac,renal, and hepatic diseases

6.intraoperative massive blood loss( loss > 40 ml/kg) or massive transfusion ( > 8 PRBCs transfused )

7.Patients on high dose ionotropes( Noradrenaline of 10 mcg/m or equivalent)

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Postoperative atelectasis assessed by lung ultrasound in individualised PEEP titration group over fixed PEEP group.Timepoint: 10 minutes after extubation
Secondary Outcome Measures
NameTimeMethod
1.Intraoperative and post operative oxygenation status(PaO2/FiO2) <br/ ><br> <br/ ><br>2.Post operative atelectasis(10 minutes after extubation) <br/ ><br> <br/ ><br>3.Incidence of intra operative bradycardia or hypotension <br/ ><br>4.Incidence of Post operative pulmonary complication by Melbourne Group Scale( upto 3 days of surgery) <br/ ><br> <br/ ><br>5.Number of patients needing supplemental oxygen to maintain SaO2 more than 95% <br/ ><br> <br/ ><br>6.Length of postoperative hospital stay. <br/ ><br>Timepoint: Intraoperative time till discharge of patient.
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