ULTRASONOGRAPHIC ASSESSMENT OF DIAPHRAGMATIC EXCURSION CHANGES AFTER LAPAROSCOPIC CHOLECYSTECTOMY IN ADULTS UNDER GENERAL ANAESTHESIA
试验速览
- 阶段
- 不适用
- 状态
- 尚未招募
- 发起方
- 入组人数
- 80
- 试验地点
- 1
- 主要终点
- The mean diaphragmatic inspiratory amplitude (DIA) on quiet breathing at baseline and 10
研究概览
简要总结
This is prospective observational study which aims towards USG guided measurement of diaphragmatic excursion changes in ASA I II patients of either sex between 18-65 years undergoing laparoscopic choleycystectomy under general anaesthesia with ET intubation whose baseline will be measured in the pre operative room before shifting into the operation theater and those will be taken as normal values for that particular patient,second measurement will be done 10 minutes after extubation,third measurement will be done 60 minutes after extubation under quiet breathing and deep breathing.
The factors affecting the diaphragmatic excursion changes will be studied in detail like peak airway pressure and dynamic compliance in the intraop,duration of anaesthesia,duration of pneumoperitoneum,total amount of opioid(fentanyl) used,total amount of fluids infused.
研究设计
- 研究类型
- Observational
入排标准
- 年龄范围
- 18.00 Year(s) 至 65.00 Year(s)（—）
- 性别
- All
入选标准
- •Adult patients of either sex, age between 18 and 65 years, American Society of Anesthesiologists physical status I-II, scheduled for elective laparoscopic cholecystectomy under general anaesthesia requiring endotracheal intubation, will be included in this study.
排除标准
- 未提供
结局指标
主要结局
The mean diaphragmatic inspiratory amplitude (DIA) on quiet breathing at baseline and 10
时间窗: 18 months
minutes after extubation
时间窗: 18 months
次要结局
- The mean diaphragmatic inspiratory amplitude (DIA) on quiet breathing 60 minutes after(extubation)
- The mean diaphragmatic inspiratory amplitude (DIA) on deep breathing at pre-anaesthetic(period,10 minutes, and 60 minutes after extubation)
- The peak airway pressure after starting of mechanical ventilation, five minutes after(pneumoperitoneum, five minutes later in the Reverse Trendelenburg position, and at the end)
- The dynamic compliance after starting of mechanical ventilation, five minutes after(pneumoperitoneum, five minutes later in the Reverse Trendelenburg position, and at the end)
- The duration of pneumopritoneum(18 months)
- The duration of anaesthesia ,induction to reversal(18 months)
- Total opioid(fentanyl)used(18 months)
- Total intravenous fluid infused(18 months)
- Post operative pain score(VAS SCORE) 10 and 60 minutes after extubation(18 months)
- Post operative sedation score (RAMSAY SEDATION SCALE) 10 and 60 minutes after extubation(18 months)
研究者
Dr B S Sanjith
Vardhman Mahavir Medical college and Safdarjung Hospital