ATELHO: Perioperative Atelectasis in Orthopaedic Surgery: a Prospective Study
Study Details
Study Description
Brief Summary
This study aims at comparing a perioperative pulmonary atelectasis score, measured by pulmonary ultrasound, in patients operated undergoing orthopedic surgery under general anesthesia, spinal anesthesia or peripheral nerve block. The association between the atelectasis score and previously identified risk factors will be studied.
| Condition or Disease | Intervention/Treatment | Phase |
|---|---|---|
|
Detailed Description
Atelectasis is one of the most common pulmonary complications in the perioperative period, occurring in 85% to 90% of patients under general anesthesia. It can be responsible for hypoxemia and be associated with postoperative pulmonary complications such as pneumonia. The consequences are a prolongation of the hospital stay and an increase in mortality.
The appearance of perioperative atelectasis is mainly secondary to the induction of general anesthesia with an incidence up to 90%. The different causes are, for example, the administration of muscle relaxants, mechanical ventilation and the position of the patient.
In orthopedic surgery, many procedures are performed under spinal anesthesia or under peripheral nerve block. At present, there are no studies measuring the incidence of atelectasis in patients operated under these two techniques of locoregional anesthesia, with the exception of parturients undergoing cesarean section.
This study aims at comparing a perioperative pulmonary atelectasis score, measured by pulmonary ultrasound, in patients operated undergoing orthopedic surgery under general anesthesia, spinal anesthesia or peripheral nerve block. The association between the atelectasis score and previously identified risk factors will be studied.
Study Design
Arms and Interventions
| Arm | Intervention/Treatment |
|---|---|
| General anesthesia
|
Other: Lung ultrasound
Lung atelectasis score
|
| Spinal anesthesia
|
Other: Lung ultrasound
Lung atelectasis score
|
| Peripheral nerve block
|
Other: Lung ultrasound
Lung atelectasis score
|
Outcome Measures
Primary Outcome Measures
- Lung atelectasis score [immediately after the surgery]
Atelectasis score based on validated ultrasound quantification (comparing different anesthesia techniques)
Secondary Outcome Measures
- Lung atelectasis score [Four timepoints: at baseline, immediatly before surgery (after anesthesia induction), immediately after the surgery, and at the recovery room]
Atelectasis score
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Patients over the age of 18;
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Patients scheduled for an elective operation at the Orthopedic Hospital of CHUV;
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Signature of the study consent
Exclusion Criteria:
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Thoracic deformities preventing the performance of pulmonary ultrasound (dressings, drains, fractures, etc.);
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Refusal to participate;
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Patient does not speak French.
-
Inability to discern
Contacts and Locations
Locations
| Site | City | State | Country | Postal Code | |
|---|---|---|---|---|---|
| 1 | Centre Hospitalier Universitaire Vaudois | Lausanne | Vaud | Switzerland | 1005 |
Sponsors and Collaborators
- Eric Albrecht
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- CER-VD 2022-00712