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comparison of a new ventilation mode with conventional mode in patient requiring post operative ventilatory support after major abdominal surgery

Phase 4
Conditions
Health Condition 1: K319- Disease of stomach and duodenum, unspecified
Registration Number
CTRI/2024/03/063874
Lead Sponsor
All India Institute of Medical Sciences Patna Bihar
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
ot Yet Recruiting
Sex
Not specified
Target Recruitment
0
Inclusion Criteria

Age greater than 18 years

All patients who have undergone abdominal surgeries of duration more than 3 hrs under GA and requiring post operative mechanical ventilation.

BMI less than 40 Kg per m2

ASA Grade I and II

Exclusion Criteria

Patients with obstructive or restrictive pulmonary disease

Patients for re exploration surgeries

Patient with Ejection fraction less than 30 percent

Patient with gross electrolyte disturbance

Patient with severe bleeding episode during surgery

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
To measure and compare the duration of mechanical ventilation in patients undergoing elective abdominal surgeries on adaptive supportive ventilation and conventional modes of ventilation ie SIMV ModeTimepoint: 1st Point: Intubation in OT <br/ ><br>2nd Point: End of Surgery which will indicate total duration of Surgery as end point in OT <br/ ><br>3nd Point: Transfer in ICU. <br/ ><br>4th Point: Removal of ET Tube ie Weaning. Duration of ventilation will be difference between admission time in ICU and extubation time ie known as weaning time from the entry into IC
Secondary Outcome Measures
NameTimeMethod
To measure the rate of extubation failure <br/ ><br>To measure the duration of ICU stay <br/ ><br>To compare the Tidal Volume, RR, Peak Inspiraotry Pressures, Peak Airway pressure at the time of randomisation versus just before extubation. <br/ ><br>To measure the PaO2 and FiO2 ratio just before and one hour after extubation <br/ ><br>To measure and compare the lactate levels one hour post extubation <br/ ><br>Timepoint: 1.5 years
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