Utility of Lung Ultrasonography As a Predictor of Fast Track Extubation

NCT ID: NCT05317897

Last Updated: 2025-01-17

Basic Information

• Recruitment Status: COMPLETED
• Total Enrollment: 45 participants
• Study Classification: OBSERVATIONAL
• Study Start Date: 2018-09-20
• Study Completion Date: 2022-08-01

Brief Summary

Fast-tracking in cardiac surgery refers to early extubation to reduce costs and perioperative morbidity. The use of lung ultrasound is recently accepted as a tool in the assessment of several lung conditions. The aim of this study was to assess the use of lung ultrasound score as a quantitative method to assist in the decision of early extubation.

Detailed Description

background: Fast-tracking in cardiac surgery refers to early extubation to reduce costs and perioperative morbidity. The use of lung ultrasound is recently accepted as a tool in the assessment of several lung conditions. The aim of this study was to assess the use of lung ultrasound score as a quantitative method to assist in the decision of early extubation.

Methedology: in this prospective, observational study, 45 pediatric patients who will go elective repair of congenital acyanotic heart diseases were included and were examined with Lung ultrasound together with arterial blood gases preoperative and postoperative and given a score range from 0-3 according to number of B lines in each region and sensitivity of post-operative lung ultrasound score to extubation within 6 hours was examined Demographic data: Patients' name, age, sex, diagnosis, relevant medical and surgical history. And Assessment data: Baseline arterial blood gases and lung ultrasound score assessment after induction of anesthesia and at the end of surgery.

Primary outcome will be the sensitivity of lung ultrasound scores immediately at the end of pediatric cardiac operation in prediction of extubation. and Secondary outcome will be correlation between lung ultrasound score and Po2/Fio2 ratio at the end of operation

Conditions

Exta Vascular Lung Water

Study Design

• Observational Model Type: COHORT
• Study Time Perspective: PROSPECTIVE

Interventions

Lung ultrasound examination

45 pediatric patients who will go elective repair of congenital acyanotic heart diseases will be included and will be examined with Lung ultrasound together with arterial blood gases preoperative and postoperative and given a score range from 0-3 according to number of B lines in each region and sensitivity of post-operative lung ultrasound score to extubation within 6 hours was examined.

Intervention Type: DIAGNOSTIC_TEST

Other Intervention Names

The lung ultrasound score

Eligibility Criteria

Inclusion Criteria

• were Age 6 months to 7 years
• Patients suffering from Acyanotic congenital heart diseases.

Exclusion Criteria

• Age is less than 6 months and more than 7 years,
• Preoperative mechanical ventilation,
• Preoperative inotropic support.,
• Trisomy 21,
• Patient with cyanotic heart diseases
• Coagulopathy INR >1.5

• Minimum Eligible Age: 6 Months
• Maximum Eligible Age: 7 Years
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Kasr El Aini Hospital

OTHER

Sponsor Role: lead

Responsible Party

Ahmed Mohamed Mohamed Elhaddad

Lecturer of Anesthesia, ICU and Pain managment

Responsibility Role: PRINCIPAL_INVESTIGATOR

Locations

Kasr Al Ainy Hospital

Cairo, Cairo Governorate, Egypt

Kasr Alainy hospital

Cairo, , Egypt

Countries

Egypt

Other Identifiers

MS-235-2017

Identifier Type: -

Identifier Source: org_study_id