Atelectasis Clinical Trial
— Lung USOfficial title:
Role of Lung Ultrasonography in Diagnosing Atelectasis in Robotic Pelvic Surgeries
Verified date | April 2023 |
Source | Rajiv Gandhi Cancer Institute & Research Center, India |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
General anaesthesia results in developement of atelectasis in dependent areas of the lungs exposing patients to an increased risk of hypoxaemia.During pelvic robotic surgeries pneumoperitoneum and steep trendelenburg position further increases atelectasis. Lung Ultrasound imaging is a promising , noninvasive , non-radiant, portable tool to study intraoperative lung atelectasis.
Status | Completed |
Enrollment | 50 |
Est. completion date | February 28, 2020 |
Est. primary completion date | February 19, 2020 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 18 Years to 80 Years |
Eligibility | Inclusion Criteria: * Patients undergoing Robotic Pelvic surgeries under general anaesthesia Exclusion Criteria: - Lung consolidation - Lung fibrosis - Cardiac failure - Previous thoracic surgery - BMI > 32 |
Country | Name | City | State |
---|---|---|---|
India | Rajiv Gandhi Cancer Institute and Research Centre | Delhi |
Lead Sponsor | Collaborator |
---|---|
Rajiv Gandhi Cancer Institute & Research Center, India |
India,
Acosta CM, Maidana GA, Jacovitti D, Belaunzaran A, Cereceda S, Rae E, Molina A, Gonorazky S, Bohm SH, Tusman G. Accuracy of transthoracic lung ultrasound for diagnosing anesthesia-induced atelectasis in children. Anesthesiology. 2014 Jun;120(6):1370-9. doi: 10.1097/ALN.0000000000000231. — View Citation
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | To assess the degree of lung atelectasis and aeration score. | By performing Lung Ultrasonography in six basal zones ( 3 in each lung) | T1 -Baseline postintubation and before docking robotic arms .T2 - At the end of Robotic surgery upto 6 hours and after removal of robotic arms before extubation. | |
Secondary | To study the effect of intraoperative Atelectasis on arterial oxygen tension | Arterial Oxygen tension (PaO2) in mmHg | T1 - Baseline postintubation and before docking robotic arms , T2 -upto 6 hours of robotic surgery and after removal of robotic arms .. | |
Secondary | To study the effect of intraoperative atelectasis on Alveolar- arterial Oxygen Gradient | Alveolar - arterial Oxygen gradient will be obtained . | T1 - Baseline postintubation and before docking robotic arms , T2 -upto 6 hours of robotic surgery and removal of robotic arms before extubation. | |
Secondary | To study the effect of mode of ventilation on intraoperative atelectasis | Volume controlled ventilation and pressure controlled ventilation if peak airway pressure exceed 35 | T1 Baseline T2 Upto 6 hours of Robotic surgery |
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