Diagnosis Of Pulmonary Complications After Cardiac Surgery In Children

NCT03563196 | Completed DMC

• 1 other identifier: SGNHC9
• Study Type: observational
• Target: 141
• Locations: 1 country
• Sites: 1

Brief Summary

Pulmonary complications are frequent in cardiac surgery, representing an important cause of morbidity, prolongation of hospital stay and need for repeated examinations.Chest X-rays are done routinely and even multiple times to detect such complications.Lung ultrasonography is an alternative test to detect pulmonary complications that can be done easily on bedside. Regularly done Chest X-ray exposes patient to ionizing radiation which can be reduced with ultrasonography. Lung ultrasound is gaining popularity in recent years as a non-invasive,radiation-free tool for the diagnosis of various acute and chronic pulmonary diseases due to its bedside convenience, accuracy, and free of radiation.There is increasing evidence to support the use of Lung ultrasound in acute care setting and post-cardiac surgical patients are also considered critically ill. The purpose of this study is to compare diagnostic performance of lung ultrasound in comparison to chest X-ray to detect pulmonary complication after cardiac surgery in children.

Conditions

Children; Cardiac Surgery; Ultrasound

Outcome Measures

Primary Outcomes (1)

• Pulmonary complications; Pleural effusion;lung consolidation,lung collapse,pneumothorax

  The ultrasound image of pleural effusion is measured by depth of echo-free space between the visceral and parietal pleura. The pulmonary ultrasonic signs of lung consolidation included a hypo-echoic area of varying shape and size with irregular margins of heterogeneous echogenicity and also included dynamic air bronchograms. The main features of atelectasis on LUS included lung consolidation and static air bronchograms. The ultrasound findings of pneumothorax included absent lung sliding and B lines and so are the comet tail artifacts from the pleura

  24 hours

Study Arms (2)

Chest Radiograph

All the patients will undergo routine chest radiogram on day 1 after operation

Radiation: Chest Radiograph

Lung Ultrasound

The same patient will undergo ultrasound evaluation of lungs on day 1 after operation

Diagnostic Test: Lung Ultrasound

Interventions

Chest Radiograph RADIATION

Chest radiogram will be obtained on day 1

Chest Radiograph

Lung Ultrasound DIAGNOSTIC_TEST

Lung ultrasound will be done on day 1

Lung Ultrasound

Eligibility Criteria

• Age: 6 Months - 14 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)
• Sampling Method: Non-Probability Sample

Study Population

Pediatric patients aged less than 14 years scheduled for cardiac surgery

You may qualify if:

• Pediatric patients aged less than 14 years scheduled for cardiac surgery in Shahid Gangalal National Heart Center

You may not qualify if:

• guardian's refusal

Sponsors & Collaborators

• Shahid Gangalal National Heart Centre: lead

Study Sites (1)

Shahid Gangalal National Heart Center

Kathmandu, 11360, Nepal

Location

Study Officials

• smriti M bajracharya, MD

  Registrar in Cardiac Anesthesia and ICU

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: observational
• Observational Model: COHORT
• Time Perspective: PROSPECTIVE
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: June 8, 2018
• First Posted: June 20, 2018
• Study Start: September 1, 2016
• Primary Completion: April 1, 2017
• Study Completion: April 1, 2017
• Last Updated: June 20, 2018

Record last verified: 2018-06

Locations

NE (1)