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| ID | Type | Description | Link |
|---|---|---|---|
| 2021-A00785-36 | Other Identifier | Id RCB |
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The extubation phase is a risky period of anesthesia management. During this step, serious complications can arise: hypoxemia, laryngospasm, pharyngeal obstruction, pneumonia… In spite of these complications, extubation and its impact on respiratory function, particularly on the Functional Residual Capacity (FRC), remains poorly studied because of the difficulty to make bedside measurements.
The PulmoVista 500 is a clinical routine which provide effective non-invasive bedside measurements. It would be interesting to evaluate the impact of extubation on respiratory function, and more specifically FRC changes during and after extubation.
This study will allow a better physiopathological knowledge and a quality improvement patient extubation management.
The aim of this study is to evaluate the variation of functional residual capacity and its distribution before and after extubation.
Patients with scheduled surgery and receiving general anesthesia with orotracheal intubation are included and the measurements will be performed in the post-interventional monitoring room (PICU). EELI data will be collected before extubation and then at T0, then T5, T10, T15 and T20 minutes. No subsequent follow-up is required.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Functional residual capacity | Experimental | Functional residual capacity measure during and after extubation |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Functional residual capacity measure by electrical impedance tomography | Other | Patient functional residual capacity will be measured by electrical impedance tomography before extubation and then at 0, 10, 15 and 20 min after extubation. |
| Measure | Description | Time Frame |
|---|---|---|
| End Expiratory Lung Impedance (EELI) | EELI variation before and at different timepoints after extubation: T0, T5, T10, T15 and T20 (min). | Between 2 and 3 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Tidal volume distribution | Percentage of tidal volume in the different regions of interest before extubation and at different timepoints after it: T0, T5, T10, T15 and T20 (min). | Between 2 and 3 hours |
| Tidal volume distribution depending on patient position |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Clarisse LEGER, Nurse | Hôpital d'instruction des armées Sainte-Anne | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hôpital d'Instruction des Armées de Sainte Anne | Toulon | Var | 83100 | France |
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| ID | Term |
|---|---|
| D053120 | Respiratory Aspiration |
| ID | Term |
|---|---|
| D012120 | Respiration Disorders |
| D012140 | Respiratory Tract Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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Percentage of tidal volume according to patient position: supine with or without proclivity, lateral or ventral decubitus |
| Between 2 and 3 hours |
| Tidal volume distribution depending on surgery type and duration | Percentage of tidal volume according to type and duration of surgery | Between 2 and 3 hours |
| Tidal volume distribution depending on ventilatory mode | Percentage of tidal volume according to the ventilatory mode: controlled ventilation, spontaneous ventilation with inspiratory assistance, spontaneous ventilation of extubated patient with or without oxygenation device | Between 2 and 3 hours |