Comparative Ultrasonic Study of Post Operative Diaphragmatic Dysfunction in Abdominal and Head and Neck Surgery

Hospices Civils de Lyon43 enrolled

Overview

Diaphragmatic dysfunction (DD) is one of the main risk factors for post operative respiratory distress syndrome. Ultrasonography is a diagnosis tool for DD but few studies have been published. The aim of this prospective study is to compare the achievement of diaphragmatic function depending on the type of surgery (abdominal and head and neck surgery).

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

DIAGNOSTIC

Masking

NONE

Enrollment

Conditions

Diaphragmatic Dysfunction

Interventions

Diaphragmatic amplitude measurementPROCEDURE

Diaphragmatic amplitude is measured by M Mode ultrasonography the day before and after surgery

Eligibility

Sex: ALLMin age: 18 Years

Medical Language ↔ Plain English

Inclusion Criteria: * Age\>18 years * Upper abdominal or head and neck surgery * written consent Exclusion Criteria: * Age \<18 years * Pregnancy * History of neuropathy or myopathy, * History of diaphragm paralysis, thoracic surgery, pneumothorax, pneumomediastinum

Locations (1)

Département d'Anesthésie Hôpital de la Croix Rousse

Lyon, Lyon, France

Outcomes

Primary Outcomes

Comparison of diaphragmatic amplitude measured by M-Mode ultrasonography performed the day before and the day after surgery in 3 groups: laparoscopic abdominal surgery, abdominal surgery by laparotomy and head and neck surgery.

Time frame: two months

Secondary Outcomes

All cause morbidity

Time frame: within the first 28 days after surgery

Data from ClinicalTrials.gov

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