Recruitment Maneuver Using Lung Ultrasound in Trauma Patients

Ajou University School of Medicine

Status: Enrolling

Conditions: Recruitment; Trauma

Treatments: Diagnostic Test: Ultrasound

Study type: Interventional

Funder types: Other

Identifiers

NCT04008758

AJIRB-MED-OBS-19-119

Details and patient eligibility

About

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.

Full 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.

Enrollment: 70 estimated patients

Sex: All

Ages: 19+ years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Supportive Care

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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70 participants in 2 patient groups

sono group

Experimental group

Description:

Evaluate the participant's lung condition using ultrasound and do recruitment maneuver if it is necessary

Treatment:

Diagnostic Test: Ultrasound

control group

No Intervention group

Description:

If participants need recruitment maneuver (decreasing saturation, peak airway pressure \> 35 mmHg) by clinical judgement, do recruitment maneuver not using lung ultrasound