Perioperative Lung Ultrasonography for Fast-track Cardiac Surgery

Not Applicable

• Conditions: Pulmonary Complication
• Interventions: Other: Treatment according to lung ultrasonography

• Registration Number: NCT03527862
• Lead Sponsor: Seoul National University Hospital

Brief Summary

The investigators evaluate the usefulness of lung ultrasonography in the perioperative period for postoperative outcomes in children undergoing fast track cardiac surgery.

Detailed Description

Some appropriate intervention such as recruitment maneuver, chest tube insertion, or diuretics will be applied depending on lung ultrasound findings.

Study Timeline

• Study First Submitted: 2018-04-24
• Study First Submitted QC: 2018-05-05
• Study Start: 2018-05-08
• Study First Posted: 2018-05-17
• Status Verified: 2022-05
• Last Update Submitted: 2022-05-03
• Last Update Posted: 2022-05-09
• Primary Completion: 2022-12-20
• Study Completion: 2022-12-20

Recruitment & Eligibility

• Status: UNKNOWN
• Sex: All
• Target Recruitment: 35

Inclusion Criteria

• Children receiving fast track cardiac surgery protocol
• = or < 5 years old
• Children with acyanotic heart disease

Exclusion Criteria

• Previous history of lung resection surgery
• Preoperative chest x-ray abnormalities
• Postoperative cyanosis

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
lung ultrasonography group	Treatment according to lung ultrasonography	Lung ultrasonography is performed three times; after tracheal intubation, before surgery end, and within 4 hours after surgery. In this group, respiratory management is performed according to diagnosis.

Primary Outcome Measures

Name	Time	Method
Postoperative pulmonary complications	Up to postoperative day 5	Pleural effusion, atelectasis, diaphragmatic dysfunction, pulmonary infection, embolism, respiratory failure, aspiration, pneumothorax, chylothorax, bronchospasm

Secondary Outcome Measures

Name	Time	Method
Length of intensive care unit stay	up to postoperative day 5	Length of intensive care unit stay
Duration of oxygen therapy	Up to postoperative day 5
Duration of the use of inotropes	Up to postoperative day 5	Duration of the use of inotropes
Lung ultrasonography findings	until 4 hours after surgery	Diagnostic lung ultrasonography
ABGA result	within 4 hours after extubation	arterial blood gas analysis results

Trial Locations

Locations (1)

Seoul National University Hospital; 🇰🇷 Seoul, Korea, Republic of