Effect of high flow oxygen therapy on respiratory function following upper abdominal surgery
Not Applicable
- Conditions
- Health Condition 1: Y839- Surgical procedure, unspecified asthe cause of abnormal reaction of the patient, or of later complication, without mention of misadventure at the time of the procedure
- Registration Number
- CTRI/2020/12/029680
- Lead Sponsor
- Vimi Rewari
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Open to Recruitment
- Sex
- Not specified
- Target Recruitment
- 0
Inclusion Criteria
1)ASA grade 1 and 2 patients.
2)Able to understand verbal instructions and provide informed consent.
3)Undergoing elective upper abdominal surgery , involving an abdominal incision longer than 5 cm that is above or extending above the umbilicus.
Exclusion Criteria
1) Patient refusal to participate in the study
2) Patients undergoing emergency laparotomy
3) Patients with tracheostomy, pleural effusion, pneumothorax, pulmonary atelectasis, k/c/o COPD/Restrictive lung disease
4) Intra operative massive blood loss( >40 ml/kg)/ massive transfusion( >8 PRBC during Surgery)
5) Known deformity of chest wall or thoracic spine .
6) Patients with history of previous thoracic surgery
7) BMI >30 kilograms per meter square.
8)Obstructive Sleep apnea
Study & Design
- Study Type
- Interventional
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method To evaluate the effect of HFNO2 on inspiratory diaphragmatic excursion after upper abdominal surgeryTimepoint: Preoperatively, 2 hours after extubation and 24 hours after extubation
- Secondary Outcome Measures
Name Time Method 1)To evaluate the effect of HFNO2 on lung aeration as assessed by Lung Ultrasound Score <br/ ><br>2)To evaluate the effect of HFNO2 on post operative oxygenation as assessed by PaO2/FiO2 ratio <br/ ><br>3) To determine the clinical variables associated with post operative diaphragmatic dysfunction and loss of lung aeration. <br/ ><br>4)To determine the correlation of diaphragmatic dysfunction with <br/ ><br>- Lung ultrasound scores <br/ ><br>- PaO2/FiO2 ratio <br/ ><br>- Body mass index <br/ ><br>- Age <br/ ><br>- Duration of surgeryTimepoint: Preoperatively, 2 hours after extubation and 24 hours after extubation