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Transesophageal Echocardiographic Evidence of Systemic Air Embolism: A Potential Complication during Lung Parenchymal Resectio

Not Applicable
Conditions
Health Condition 1: J00-J99- Diseases of the respiratory system
Registration Number
CTRI/2021/07/034878
Lead Sponsor
Postgraduate Institute of Medical Education and Research
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

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

Inclusion Criteria: 1. Patients in age group of 18 to 60 years of both sexes 2. Patients with ASA I, II and III 3. Patients posted for lung surgery requiring parenchymal resection such as lobectomy, wedge resection, segmentectomy, sleeve resection and pneumonectomy.4. Patients with no contraindications for intraoperative TEE.5.Patients willing to give consent to participate in the study.

Exclusion Criteria

Exclusion Criteria:

1. Presence of any intracardiac defect like Patent foramen ovale (PFO), Atrial septal defect (ASD), Ventricular septal defect (VSD) or extracardiac shunt like Patent ductus arteriosus.

2. Patients with difficult intubation.

3. Patients with history of esophageal or stomach surgery.

4. Patients with history of acute upper gastrointestinal bleed.

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
To detect perioperative incidence of systemic air embolism in patients with lung pathology undergoing parenchymal resection, as observed on transoesophageal echocardiography.Timepoint: Intraoperative procedure
Secondary Outcome Measures
NameTimeMethod
To measure the severity of systemic air embolism (SAE)Timepoint: Intraoperative procedure;To observe effect of SAE on intraoperative hemodynamic, SpO2, and expired gasses.Timepoint: Intraoperative procedure;To observe effect of SAE on postoperative hemodynamic, breathing, SpO2, vision, neurological dysfunction, recovery, discharge, morbidity and mortality, if any.Timepoint: Postoperative procedure
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