Lung Ultrasound Score and Postoperative Pulmonary Complications in Major Non-Thoracic Surgery
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Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- Это наблюдательное исследование: исследуемое лечение участникам по протоколу не назначают.
- Кому может быть актуально
- Состояния в реестре: Postoperative Pulmonary Complications (PPCs), Hypoxemia. Базовые параметры: 18 лет — 65 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- Список центров уточняется — проверьте первичный протокол.
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Официальное название
Predictive Value of Perioperative Lung Ultrasound Score for Early Postoperative Oxygen Requirement and Pulmonary Complications in Patients Undergoing Major Non-Thoracic Surgery
Обзор
This prospective observational cohort study aims to evaluate the predictive value of perioperative lung ultrasound (LUS) score in determining early postoperative oxygen requirement and pulmonary complications in patients undergoing major non-thoracic surgery. Postoperative pulmonary complications remain a significant cause of morbidity and mortality in surgical patients. Lung ultrasound is a non-invasive, bedside imaging modality that allows real-time assessment of lung aeration and pathology. This study will investigate the association between perioperative LUS score and early postoperative respiratory outcomes, including oxygen requirement and pulmonary complications.
Подробное описание
Postoperative pulmonary complications are among the most common causes of postoperative morbidity and prolonged hospital stay following major surgery. Early identification of patients at risk is crucial for timely intervention and improved outcomes. Lung ultrasound (LUS) has emerged as a reliable, non-invasive, and bedside tool for evaluating lung aeration and detecting pulmonary abnormalities such as atelectasis, interstitial syndrome, and pleural effusion.
This prospective observational cohort study is designed to assess the predictive value of perioperative lung ultrasound score in patients undergoing major non-thoracic surgery. A total of 97 patients aged between 18 and 65 years will be included. Lung ultrasound examinations will be performed perioperatively, and LUS scores will be calculated based on standardized protocols.
The primary objective of this study is to evaluate the relationship between perioperative LUS score and early postoperative oxygen requirement. Secondary objectives include assessing the association between LUS score and the incidence of postoperative pulmonary complications, need for intensive care unit admission, and length of hospital stay.
By identifying the predictive role of lung ultrasound scoring, this study aims to contribute to improved perioperative risk stratification and support the use of lung ultrasound as a practical tool in routine anesthetic and surgical care.
Первичные конечные точки
- Early Postoperative Oxygen Requirement [Срок оценки: Within the first 24 hours after surgery]
Вторичные конечные точки (6)
- Postoperative Pulmonary Complications [Срок оценки: Within 7 days after surgery]
- Correlation Between LUS Score and Hypoxemia [Срок оценки: Within 24 hours after surgery]
- Number of participants requiring ICU admission [Срок оценки: Within 7 days after surgery]
- Length of Hospital Stay [Срок оценки: From surgery until hospital discharge (up to 30 days)]
- Duration of Postoperative Oxygen Therapy [Срок оценки: Within the first 24 hours after surgery]
- Number of participants requiring high-flow nasal oxygen or noninvasive ventilation [Срок оценки: Within 7 days after surgery]
Критерии участия
Критерии включения
- Aged 18 to 65 years
- Scheduled for elective major non-thoracic surgery
- Undergoing surgery under general anesthesia
- Expected surgical duration of 3 hours or longer
- ASA physical status I-III
- Willing to participate in the study
- Provides written informed consent
Критерии исключения
- Patients undergoing thoracic or cardiac surgery
- Advanced chronic lung disease (e.g., severe COPD or pulmonary fibrosis)
- History of previous lung resection
- Preoperative pneumonia or active pulmonary infection
- Body mass index greater than or equal to 40 kg/m2
- Pregnancy
- Emergency surgery
- Planned postoperative mechanical ventilation or intensive care unit admission
- Refusal to participate in the study
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Нет
Дизайн исследования
- Модель наблюдения
- Когортное
Центры проведения
Список центров уточняется — проверьте первичный протокол.
Идентификаторы
NCT: NCT07515001 · DICLE-ANES-001