Recruitment Maneuver Using Lung Ultrasound in Trauma Patients

Trauma Clinical Trial

Official title:

Evaluation of Efficacy of Recruitment Maneuver Using Lung Ultrasound in Trauma Patients

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT04008758
• Other study ID #: AJIRB-MED-OBS-19-119
• Status: Recruiting
• Phase: N/A
• Start date: August 1, 2019
• Est. completion date: December 31, 2023

Study information

• Verified date: March 2023
• Source: Ajou University School of Medicine
• Contact: In Kyong Yi, MD
• Phone: +82-219-7522
• Email: lyrin01[@]gmail.com
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

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.

Description:

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.

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 70
• Est. completion date: December 31, 2023
• Est. primary completion date: December 31, 2023
• Accepts healthy volunteers: No
• Gender: All
• Age group: 19 Years and older

Eligibility

Inclusion Criteria:

• Who need surgery under general anesthesia due to trauma

• The position of the surgery is supine

Exclusion Criteria:

• Who has been ventilator care before the surgery

• Thoracic surgery

• Who had cardiopulmonary resuscitation

• Who has acute respiratory distress syndrome

Related Conditions & MeSH terms

• Recruitment
• Trauma
• Wounds and Injuries

Intervention

Diagnostic Test:
• Ultrasound
Evaluate participant's lung condition using ultrasound. Using lung ultrasound scoring, more than 1 point needs recruitment maneuver

Locations

Country	Name	City	State
Korea, Republic of	Ajou university school of medicine	Suwon	Gyeonggi-do

Sponsors (1)

Lead Sponsor	Collaborator
Ajou University School of Medicine

Country where clinical trial is conducted

Korea, Republic of, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	arterial oxygen partial pressure / fractional inspired oxygen ratio at end of surgery	= 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	2 hours
Secondary	Lung ultrasound score	Using lung ultrasound, evaluate lung condition in both group at end of surgery Scoring using "lung ultrasound scoring" Scoring range: 0, normal; 1, small loss of aeration; 2, moderate loss of aeration; 4, severe loss of aeration	2 hours