Evaluation of Efficacy of Recruitment Maneuver Using Lung Ultrasound in Trauma Patients
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 发起方
- 入组人数
- 70
- 试验地点
- 2
- 主要终点
- arterial oxygen partial pressure / fractional inspired oxygen ratio at end of surgery
研究概览
简要总结
In trauma patients, the incidence of pulmonary contusion is frequent. Recruit maneuver using lung ultrasound could be improve oxygenation in trauma populatioin, howevere, there is no previous study. The aim of this study is evaluation of the efficacy of lung recruitment using ultrasound in perioperative period in trauma patients.
详细描述
In trauma patients, the incidence of pulmonary contusion is 17-75%. Pulmonary contusioin leads to atelectasis, lung consolidatioin. Finally it could results acute respiratory distress syndrome.
Lung ultrasound is non-invasive and available in anytime even during surgery. Previous studies showed recruitment maneuver using ultrasound improved postoperative oxygenation in pediatric cardiac surgery. In adults, recruitment maneuver not using ultrasound improved oxygenation after cardiopulmonary bypass. There is no study in adult trauma population.
The aim of this study is evaluation of the efficacy of lung recruitment using ultrasound in perioperative period in trauma patients.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 19 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Who need surgery under general anesthesia due to trauma
- •The position of the surgery is supine
排除标准
- •Who has been ventilator care before the surgery
- •Thoracic surgery
- •Who had cardiopulmonary resuscitation
- •Who has acute respiratory distress syndrome
结局指标
主要结局
arterial oxygen partial pressure / fractional inspired oxygen ratio at end of surgery
时间窗: 2 hours
= P /F ratio; Smaller value respresents poor outcome Using arterial blood gas analysis the difference between baseline (immediate after intubation) and end of surgery : If P/F ratio difference is improved compared to baseline, it means recruitment maneuver is effective
次要结局
- Lung ultrasound score(2 hours)
研究者
In-kyong Yi
Clinical assistant professor
Ajou University School of Medicine