study of loss of lung aeration during laparoscopic gynecological procedures using lung ultrasound

Not yet recruiting

• Conditions: Medical and Surgical,

• Registration Number: CTRI/2023/09/057551
• Lead Sponsor: Dr Rachana Pole Sathyendranath

Brief Summary

Atelectasis is the most common cause for development of postoperative pulmonary complications. the incidence of atelectasis is approximately 90% in all patients receiving general anesthesia. laparoscopic surgeries are gaining more popularity in the present days due to its advantages which include minimal incisions, clear surgical views and reduced postoperative stay, however pneumoperitoneum and trendelenburg position leads to hypoxemia which increases the risk of post operative pulmonary complications. therefore preventing perioperative atelectasis becomes challenging. incorporating lung ultrasound in modern anesthesia practise helps clinicians to manage critical situation swiftly in real time and prevent any further life threatening complications. in our study we will be performing lung ultrasound by placing the probe in bilateral six quadrants, each hemithorax divided into upper and lower zones which is further divided into anterior ,lateral and posterior zones by anterior and posterior axillary lines. lung ultrasound score is a semiquantitative ecographic score of lung aeration. LUS will be calculated by adding the scores of twelve individual quadrants ranging from 0 to 36. higher score suggest chronic atelectasis. we consider pulmonary atelectasis to be significant when LUS A> 2 in any region.

Detailed Description

Not available

Study Timeline

• Study Start: 2023-09-22
• Last Update Posted: 2023-11-09

Recruitment & Eligibility

• Status: Not Yet Recruiting
• Sex: Female
• Target Recruitment: 50

Inclusion Criteria

1.patients posted for elective laparoscopic gynecological surgery 2.patients with BMI <35kg/m2 3.American society of Anaesthesiologists class I and II.

Exclusion Criteria

1.patients with known pulmonary pathology 2.pregnant women 3.patients with known cardiac and neuromuscular diseases.

Study & Design

• Study Type: Observational
• Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
To measure perioperative lung ultrasound score in twelve lung quadrants	15 minutes prior to induction of general anesthesia to 15 minutes post extubation

Secondary Outcome Measures

Name	Time	Method
to assess intraoperative complications which includes capnothorax endobronchial intubation & gas embolism	15 minutes prior to induction of general anesthesia to 15 minutes post extubation

Trial Locations

Locations (1)

Dr B R Ambedkar medical college and hospital; 🇮🇳 Bangalore, KARNATAKA, India

Dr B R Ambedkar medical college and hospital

🇮🇳Bangalore, KARNATAKA, India

Dr Rachana Pole Sathyendranath

Principal investigator

9113623543

rachanapole95.rp@gmail.com