To examine whether change in thickness of the muscle that separate the chest and abdomen can predict failure to remove the patient from the ventilator after completion of long duration surgeries involving upper abdome
Not Applicable
- Conditions
- Health Condition 1: K839- Disease of biliary tract, unspecifiedHealth Condition 2: O- Medical and Surgical
- Registration Number
- CTRI/2023/04/051308
- Lead Sponsor
- Dr Ram Manohar Lohia Institute of Medical Sciences, Lucknow
- Brief Summary
Not available
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- Open to Recruitment
- Sex
- Not specified
- Target Recruitment
- 0
Inclusion Criteria
a.Consenting patients
b.Elective surgery of more than 4 hours
c.Upper abdominal surgeries
d.Under General anesthesia with a thoracic epidural for postoperative analgesia
e.Age of the patients: 18-70years
f.Either gender
g.ASA I-II
Exclusion Criteria
a.Previous ICU stay or admission
b.Patient on inotrope support
c.Emergency surgeries
d.Any disease which causes respiratory muscle weakness like Gullian Barre Syndrome, or cervical spine fracture.
Study & Design
- Study Type
- Observational
- Study Design
- Not specified
- Primary Outcome Measures
Name Time Method Diaphragm ultrasound should be used as a predictor tool for successfully extubating patients who underwent prolonged abdominal surgery.Timepoint: before induction of general anaesthesia, after completion of the surgery, before extubation and after 2 hours of extubation.
- Secondary Outcome Measures
Name Time Method estimate the time to correction of diaphragm thickness post-operativelyTimepoint: Before induction of general anaesthesia, after completion of the surgery, before extubation and after 2 hours of extubation.