Pulmonary Impacts of Anaesthetic Modalities Evaluated by Ultrasound: A Prospective Study in Scheduled Knee Arthroplasty
试验速览
- 阶段
- 不适用
- 入组人数
- 99
- 试验地点
- 1
- 主要终点
- lung lesions by the anaesthetic and operative management after knee replacement surgery
研究概览
简要总结
A prospective, observational, monocentric study aimed at identifying ultrasound changes in anaesthesia on the pulmonary parenchyma after knee arthroplastic surgery using the LUS score in the preoperative, immediate post-operative (D0) and late post-operative (D1) periods.
详细描述
Post-operative pulmonary complications are responsible from morbidity and mortality close to cardiovascular complications.
Perioperative and post-operative respiratory changes are secondary to anaesthesia (general anaesthesia, elongated position, tidal volume) and to surgery in particular abdominal and cardiothoracic surgery.
Several risk factors related to patients were identified: age, ASA score> 2, functional dependence, chronic obstructive pulmonary disease, congestive heart failure, obesity, smoking.
Pulmonary ultrasound is a simple and rapid means of monitoring, widely used in resuscitation and developing in anaesthesia.
The hypothesis of the study is that anaesthesia and / or ventilation is responsible for lung lesions observable by ultrasound from the recovery room, even after extra-thoracic surgeries.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Control
- 时间视角
- Prospective
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Patient undergoing scheduled primary knee arthroplasty :
- •Partial knee replacement surgery
- •Total knee replacement surgery
- •Type of Anaesthesia
- •General anaesthesia with orotracheal intubation
- •General anaesthesia with laryngeal mask
- •Spinal anaesthesia
- •Major Patient
- •Oral non opposition collected after oral information of the study
排除标准
- •Refusal to participate
- •Preoperative pleural pathology (pleural effusion, pleural symphysis)
- •Pregnancy
- •Patient under authorship or curators
- •non-affiliation to a social security scheme
结局指标
主要结局
lung lesions by the anaesthetic and operative management after knee replacement surgery
时间窗: 24hours post surgery
Describe lung lesions by the anaesthetic and operative management after knee replacement surgery
次要结局
未报告次要终点