Anesthesia Clinical Trial
Official title:
Pulmonary Impacts of Anaesthetic Modalities Evaluated by Ultrasound: A Prospective Study in Scheduled Knee Arthroplasty
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.
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.
To do this, it will perform 3 pleuro-pulmonary ultrasound scans, preoperatively on the day of
surgery, post-operatively in the recovery room and the day after surgery. LUS score will be
calculated. Preoperative data (morphology, comorbidities), preoperative (ventilation,
filling, position, type of anaesthesia - general anaesthesia with intubation or laryngeal
mask, spinal anaesthesia- , type of surgery) and postoperative data (constants, oxygen
therapy, complications) will be collected.
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