Lung Ultrasound Score After Ear, Nose and Throat Cancer Surgery
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 80
- 试验地点
- 1
- 主要终点
- Lung ultrasound score, in the PACU after ENT cancer surgery.
研究概览
简要总结
After ENT cancer surgery, postoperative respiratory complications are common, especially after tracheostomy.
The objective of this study is to characterize the pulmonary status of patients after ENT cancer surgery.
We wish to collect and analyze the pulmonary abnormalities revealed by the ultrasound scans performed in the post-anesthesia care unit (PACU), at day 1 and at day 2 after ENT cancer surgery with tracheostomy.
详细描述
After ENT cancer surgery, postoperative respiratory complications are common, especially after tracheostomy.
Problems with lung ventilation called "atelectasis" are largely associated with these complications. These atelectasis develop within minutes of the start of general anesthesia. Patients who develop a complication require longer postoperative oxygen treatment and more physical therapy.
The diagnosis of atelectasis can be made by standard chest radiography, which is a source of radiation and requires moving the patient. An alternative technique, lung ultrasound, is a non-irradiating examination that can be performed in the patient's bed. It is routinely performed in the postoperative surveillance room and in the intermediate care unit at the Centre Léon Bérard.
The objective of this study is to characterize the pulmonary status of patients after ENT cancer surgery.
We wish to collect and analyze the pulmonary abnormalities revealed by the ultrasound scans performed in the post-anesthesia care unit (PACU), at day 1 and at day 2 after ENT cancer surgery with tracheostomy.
研究设计
- 研究类型
- Observational
- 观察模型
- Case Only
- 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
- •ENT cancer surgery with tracheostomy or tracheotomy
排除标准
- •under 18 years old
- •deprivation of liberty
- •pre-existing tracheotomy or tracheostomy
- •patient refusal
结局指标
主要结局
Lung ultrasound score, in the PACU after ENT cancer surgery.
时间窗: Up to 24 hours
Lung ultrasound score : Images were obtained in PACU. Care was taken to set the focal zone on the pleural line. The thorax was divided into 12 quadrants: anterior, lateral, and posterior zones (separated by the anterior and posterior axillary lines) each divided in upper and lower portions for the right and left lung. Intercostal spaces of each of these areas were scanned and a cine-loop of the most pathologic area of each quadrant was saved to digital format. A semiquantitative score, the lung ultrasound (LUS) score, was calculated to assess lung aeration at each time point as described by Monastesse.
次要结局
- Study gas exchange on day 1 after surgery(on the 1st day after surgery)
- Study gas exchange in PACU(up to 24 hours)
- Study gas exchange on day 2 after surgery(on the 2nd day after surgery)
- To assess the incidence of pulmonary atelectasis in the PACU by chest radiography.(Up to 24 hours)
- Lung ultrasound score, on day 2 after ENT cancer surgery.(on the 2nd day after surgery)
- Lung ultrasound score, on day 1 after ENT cancer surgery.(on the 1st day after surgery)
- incidence of postoperative respiratory complications in the month following ENT cancer surgery (eg number of participants with a postoperative respiratory complication)(up to 31 days)