Actively Recruiting
Influence of Lung Ultrasonography on the Prognosis and Postoperative Outcomes in Cardiac Surgical Patients
Led by Saint Petersburg State University, Russia · Updated on 2024-12-09
186
Participants Needed
1
Research Sites
85 weeks
Total Duration
On this page
AI-Summary
What this Trial Is About
The goal of this interventional is to assess advantages of the ultrasound examination of the lungs in the early postoperative period in cardiac surgical patients after heart surgeries requiring cardiopulmonary bypass. Evaluation of pulmonary complications and outcomes during mid-term follow-up, as well as comparison of ultrasound examination and traditional roentgenologic methods (X-ray examination and CT of the chest) will be performed. The main question\[s\] it aims to answer are: * Is ultrasound examination of the lungs a more specific and sensitive method in identification of early postoperative pulmonary complications after on-pump cardiac surgical procedures, in comparison with traditional X-ray methods. * Does early identification of interstitial pulmonary edema (based on number of visualised B-lines in the early postoperative period), influences mid-term outcomes in this cohort of patients Participants will undergo ultrasound examination of the lungs on postoperative day 1, 3, 5 and 7 after heart surgery. Based on ultrasound findings and degree of interstitial pulmonary edema, medical (diuretics, anti-inflammatory, e.t.c) therapy will be modified. Researchers will compare this group of patients with control group, in which ultrasound examination will be performed in the same time frames, but no changes in medical management based on ultrasound findings will be made to see if timely administered medical therapy, based on ultrasound findings, can significantly improve symptoms, hospital lengths of stay and outcomes of this patients.
CONDITIONS
Official Title
Influence of Lung Ultrasonography on the Prognosis and Postoperative Outcomes in Cardiac Surgical Patients
Who Can Participate
Eligibility Criteria
You may qualify if you...
- Open heart surgery with cardiopulmonary bypass (CPB) between 15 December 2023 and 15 December 2024
- Signed informed consent for participation in the study
You will not qualify if you...
- Reoperations on the open heart with CPB
- Surgical procedures on lungs and lung cancer in the anamnesis
- Chronic obstructive pulmonary disease, stage III
- Chronic kidney disease, stages 4 and 5
- Patients with low Risk Score profile by the Society of Thoracic Surgeons
AI-Screening
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Trial Site Locations
Total: 1 location
1
Saint Petersburg State University Clinic
Saint Petersburg, Sankt-Peterburg, Russia, 190020
Actively Recruiting
Research Team
A
Aleksei A Filippov, MD, PhD
CONTACT
S
Sergey M Efremov, MD, PhD
CONTACT
How is the study designed?
Study Type
INTERVENTIONAL
Masking
TRIPLE
Allocation
RANDOMIZED
Model
PARALLEL
Primary Purpose
TREATMENT
Number of Arms
2
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