Assessing the respiratory muscle capacity using ultrasound in patients undergoing surgery in spine of neck regio

Not Applicable

Conditions: Health Condition 1: G959- Disease of spinal cord, unspecifiedHealth Condition 2: M471- Other spondylosis with myelopathy

Registration Number: CTRI/2024/05/067803

Lead Sponsor: Christian Medical College

Brief Summary: Not available

Detailed Description: Not available

Recruitment & Eligibility

Status: ot Yet Recruiting

Sex: Not specified

Target Recruitment: 0

Inclusion Criteria

i.Adults aged =18 years

ii.Cervical spine surgery: Laminectomy, corpectomy, discectomy, cervical spine fusion surgery for degenerative/traumatic indications, cervical spinal tumours (extradural, intradural extramedullary and intramedullary)

iii.Surgery for Craniovertebral junction anomalies

iv.Cervical spine trauma requiring surgery

v.ASA 1, 2 and 3

Exclusion Criteria

i.Patient refusal

ii. Patients on mechanical ventilation in the preoperative period.

iii. Patients with low Glasgow coma scale (less than 8) and unable to obey commands.

iv. Patients with preexisting medical conditions causing respiratory dysfunction, including but not limited to Guillain Barre syndrome, motor neuron diseases, and bulbar poliomyelitis.

v.Prior history of cardiothoracic surgery

vi. Recent upper abdominal surgery in the past six weeks

vii. ASA 4 and 5

Study & Design

Study Type: Observational

Study Design: Not specified

Primary Outcome Measures

Name	Time	Method
umber of patients diagnosed to have diaphragmatic dysfunction by point-of-care ultrasound preoperatively and at 72 hours after surgery <br/ ><br> <br/ ><br>Timepoint: preoperative baseline <br/ ><br>and postoperative 72 hours <br/ ><br> <br/ ><br>

Secondary Outcome Measures

Name	Time	Method
1.Postoperative respiratory complications like respiratory failure, respiratory infections, respiratory distress, the requirement for non-invasive ventilation, reintubation, and prolonged mechanical ventilation within 30 days of discharge <br/ ><br>2.Need for postoperative oxygen supplementation for more than 6 hrs. <br/ ><br>3.Association of preoperative functional clinical myelopathy grades like modified Indian Nurick grade and Modified JOA with diaphragmatic dysfunction <br/ ><br>Timepoint: till hospital discharge <br/ ><br>and 30 days within discharge