Ventilation Therapy; Complications Clinical Trial
Official title:
Determination of Optimal Positive End-expiratory Pressure in Prone Position During General Anesthesia Using Electrical Impedance Tomography in Pediatric Patient Under 17 Years of Age
This study aimed to investigate the differences in positive end-expiratory pressure titration in the supine and prone positions by age in pediatric patients under 17 years of age who received general anesthesia and then evaluate the hemodynamic stability.
Status | Recruiting |
Enrollment | 51 |
Est. completion date | August 31, 2024 |
Est. primary completion date | December 31, 2023 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 0 Years to 16 Years |
Eligibility | Inclusion Criteria: - patients who are scheduled to undergo general anesthesia in the prone position - patients who are in age under 17 years Exclusion Criteria: - had cyanosis or chronic respiratory failure - had respiratory distress syndrome or bronchopulmonary dysplasia - had laryngotracheal diseases - had pulmonary hypertension - receiving oxygen therapy |
Country | Name | City | State |
---|---|---|---|
Korea, Republic of | Seoul National University Hospital | Seoul |
Lead Sponsor | Collaborator |
---|---|
Seoul National University Hospital |
Korea, Republic of,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | Optimal positive end-expiratory pressure (PEEP) | result of decremental PEEP trial | 10 minutes after intubation | |
Primary | Optimal positive end-expiratory pressure (PEEP) | result of decremental PEEP trial | 60 minutes after prone positioning | |
Secondary | Impedance tidal variation | respiratory parameters measured by Electrical Impedance Tomography (EIT) device | 10 minutes after intubation | |
Secondary | Impedance tidal variation | respiratory parameters measured by EIT device | 60 minutes after prone positioning | |
Secondary | regional respiratory system compliance | respiratory parameters measured by EIT device | 60 minutes after prone positioning | |
Secondary | regional respiratory system compliance | respiratory parameters measured by EIT device | 10 minutes after intubation | |
Secondary | overdistension or atelectasis | respiratory parameters measured by EIT device | 10 minutes after intubation | |
Secondary | overdistension or atelectasis | respiratory parameters measured by EIT device | 60 minutes after prone positioning | |
Secondary | end-expiratory lung volume | respiratory parameters measured by EIT device | 10 minutes after intubation | |
Secondary | end-expiratory lung volume | respiratory parameters measured by EIT device | 60 minutes after prone positioning | |
Secondary | end-expiratory lung impedance | respiratory parameters measured by EIT device | 10 minutes after intubation | |
Secondary | end-expiratory lung impedance | respiratory parameters measured by EIT device | 60 minutes after prone positioning | |
Secondary | regional ventilation delay | respiratory parameters measured by EIT device | 10 minutes after intubation | |
Secondary | regional ventilation delay | respiratory parameters measured by EIT device | 60 minutes after prone positioning | |
Secondary | center of ventilation | respiratory parameters measured by EIT device | 10 minutes after intubation | |
Secondary | center of ventilation | respiratory parameters measured by EIT device | 60 minutes after prone positioning | |
Secondary | vital signs | blood pressure (mmHg) | 10 minutes after intubation | |
Secondary | vital signs | blood pressure (mmHg) | 60 minutes after prone positioning | |
Secondary | vital signs | oxygen saturation (%) | 10 minutes after intubation | |
Secondary | vital signs | oxygen saturation (%) | 60 minutes after prone positioning | |
Secondary | vital signs | heart rate (BPM) | 10 minutes after intubation | |
Secondary | vital signs | heart rate (BPM) | 60 minutes after prone positioning | |
Secondary | arterial blood gas analysis, if patients has arterial catheter | oxygen and cardon dioxide tension | 10 minutes after intubation & 60 minutes after prone positioning |
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