Recruitment Maneuver Using Lung Ultrasound in Trauma Patients

NCT04008758 | Unknown

• 1 other identifier: AJIRB-MED-OBS-19-119
• Study Type: interventional
• Target: 70
• Locations: 1 country
• Sites: 1

Brief 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.

Conditions

Recruitment; Trauma

Keywords

recruitment; ultrasound; trauma; pulmonary contusion

Outcome Measures

Primary Outcomes (1)

• 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 Outcomes (1)

• Lung ultrasound score

  2 hours

Study Arms (2)

sono group

EXPERIMENTAL

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

Diagnostic Test: Ultrasound

control group

NO INTERVENTION

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

Interventions

Ultrasound DIAGNOSTIC_TEST

Evaluate participant's lung condition using ultrasound. Using lung ultrasound scoring, more than 1 point needs recruitment maneuver

sono group

Eligibility Criteria

• Age: 19 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• Who need surgery under general anesthesia due to trauma
• The position of the surgery is supine

You may not qualify if:

• Who has been ventilator care before the surgery
• Thoracic surgery
• Who had cardiopulmonary resuscitation
• Who has acute respiratory distress syndrome

Sponsors & Collaborators

• Ajou University School of Medicine: lead

Study Sites (1)

Ajou university school of medicine

Suwon, Gyeonggi-do, 16499, South Korea

RECRUITING

MeSH Terms

Conditions

Wounds and Injuries

Interventions

Ultrasonography

Intervention Hierarchy (Ancestors)

Diagnostic Imaging; Diagnostic Techniques and Procedures; Diagnosis

Study Officials

• In Kyong Yi, MD

  Ajou University School of Medicine

  PRINCIPAL INVESTIGATOR

Central Study Contacts

In Kyong Yi, MD

CONTACT

+82-219-7522; lyrin01@gmail.com

Hyemin Sohn, MD

CONTACT

+82-219-7521; sfsohn@aumc.ac.kr

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: SUPPORTIVE CARE
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Clinical assistant professor

Model Details: Randomized prospective trial 1. st group is sono group using lung ultrasound 2. nd group is control group

Study Record Dates

• First Submitted: July 2, 2019
• First Posted: July 5, 2019
• Study Start: August 1, 2019
• Primary Completion: December 31, 2023
• Study Completion: December 31, 2023
• Last Updated: March 6, 2023

Record last verified: 2023-03

Data Sharing

• IPD Sharing: Will not share

Locations

KR (1)