Comparative diagnostic performances of auscultation, chest radiography, and lung ultrasonography in acute respiratory distress syndrome.
Daniel Lichtenstein, Ivan Goldstein, Eric Mourgeon...
https://pubmed.ncbi.nlm.nih.gov/14695718Actively Recruiting
Led by Saint Petersburg State University, Russia · Updated on 2024-12-09
186
Participants Needed
1
Research Sites
33 weeks
Total Duration
Researchers are evaluating the benefits of using lung ultrasound exams in the early period after heart surgery requiring cardiopulmonary bypass. The study compares the ability of ultrasound to detect early lung complications against traditional chest X-rays and CT scans. It also investigates whether early detection of lung fluid buildup affects patient outcomes in the mid-term after surgery. Participants will have lung ultrasounds on days 1, 3, 5, and 7 after surgery. In one group, medical treatments such as diuretics and anti-inflammatory drugs will be adjusted based on the ultrasound results to improve patient status. The control group will also have ultrasounds but treatment decisions will rely on standard clinical and X-ray methods without using ultrasound findings. During the hospital stay, ultrasound exams will be done every two days until discharge or death, up to 4 weeks. Researchers will measure how many patients have lung fluid at discharge, track lung complications, medication doses, and time spent at home after leaving the hospital. This follow-up aims to assess how ultrasound-guided treatment may impact recovery and outcomes after cardiac surgery.
CONDITIONS
Influence of Lung Ultrasonography on the Prognosis and Postoperative Outcomes in Cardiac Surgical Patients
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Duration - 2 to 4 weeks
Participants are screened for eligibility to participate in the trial.
1 visit (in-person)
Duration - Hospital stay until discharge or death, up to 4 weeks
Participants undergo open heart surgery with cardiopulmonary bypass and begin post-operative care.
Ultrasound lung examination every second day during hospital stay
Duration - Up to 4 weeks after surgery
Participants are monitored for pulmonary complications and recovery after hospital discharge.
Ultrasound lung examination every second day during hospital stay; follow-up visits depending on clinical status
Total: 1 location
1
Saint Petersburg State University Clinic
Saint Petersburg, Sankt-Peterburg, Russia, 190020
Actively Recruiting
A
Aleksei A Filippov, MD, PhD
S
Sergey M Efremov, MD, PhD
Study Type
INTERVENTIONAL
Masking
TRIPLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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Daniel Lichtenstein, Ivan Goldstein, Eric Mourgeon...
https://pubmed.ncbi.nlm.nih.gov/14695718Frances M Russell, Robert R Ehrman, Allen Barton...
https://pubmed.ncbi.nlm.nih.gov/34191132