Utility of Lung Ultrasonography as a Predictor of Fast Track Extubation

Study Overview
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Brief Summary
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Fast-tracking in cardiac surgery refers to early extubation to reduce costs and perioperative morbidity. The use of lung ultrasound is recently accepted as a tool in the assessment of several lung conditions. The aim of this study was to assess the use of lung ultrasound score as a quantitative method to assist in the decision of early extubation.

Detailed Description
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background: Fast-tracking in cardiac surgery refers to early extubation to reduce costs and perioperative morbidity. The use of lung ultrasound is recently accepted as a tool in the assessment of several lung conditions. The aim of this study was to assess the use of lung ultrasound score as a quantitative method to assist in the decision of early extubation. Methedology: in this prospective, observational study, 45 pediatric patients who will go elective repair of congenital acyanotic heart diseases were included and were examined with Lung ultrasound together with arterial blood gases preoperative and postoperative and given a score range from 0-3 according to number of B lines in each region and sensitivity of post-operative lung ultrasound score to extubation within 6 hours was examined Demographic data: Patients' name, age, sex, diagnosis, relevant medical and surgical history. And Assessment data: Baseline arterial blood gases and lung ultrasound score assessment after induction of anesthesia and at the end of surgery. Primary outcome will be the sensitivity of lung ultrasound scores immediately at the end of pediatric cardiac operation in prediction of extubation. and Secondary outcome will be correlation between lung ultrasound score and Po2/Fio2 ratio at the end of operation

Official Title
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Utility of Lung Ultrasonography as a Predictor of Fast Track Extubation in Pediatric Cardiac Surgeries An Observational Study

Conditions
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Exta Vascular Lung Water

Intervention / Treatment
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* Diagnostic Test: Lung ultrasound examination


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: were Age 6 months to 7 years Patients suffering from Acyanotic congenital heart diseases. Exclusion Criteria: Age is less than 6 months and more than 7 years, Preoperative mechanical ventilation, Preoperative inotropic support., Trisomy 21, Patient with cyanotic heart diseases Coagulopathy INR >1.5

Ages Eligible for Study
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Minimum Age: 6 Months
Maximum Age: 7 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Arms and Interventions

| Intervention/Treatment |
| --- |
|Diagnostic Test: Lung ultrasound examination|45 pediatric patients who will go elective repair of congenital acyanotic heart diseases will be included and will be examined with Lung ultrasound together with arterial blood gases preoperative and postoperative and given a score range from 0-3 according to number of B lines in each region and sensitivity of post-operative lung ultrasound score to extubation within 6 hours was examined.|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| the sensitivity of lung ultrasound scores | the sensitivity of lung ultrasound scores immediately at the end of pediatric cardiac operation in prediction of extubation | immediately at the end of pediatric cardiac operation | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| correlation between lung ultrasound score and Po2/Fio2 ratio | correlation between lung ultrasound score and Po2/Fio2 ratio at the end of operation | immediatly at the end of pediatric cardiac operation until 6 hours post operative until extubatiioon |