Lung Recruitment Maneuver for Predicting Fluid Responsiveness in Children
Not Applicable
Completed
- Conditions
- Hypovolemia
- Interventions
- Diagnostic Test: lung recruitment maneuver
- Registration Number
- NCT03184961
- Lead Sponsor
- Seoul National University Hospital
- Brief Summary
Lung recruitment maneuver induces a decrease in stroke volume, which is more pronounced in hypovolemic patients. The authors hypothesized that the changes of dynamic variables through lung recruitment maneuver could predict preload responsiveness in pediatric patients with lung protective ventilation
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 30
Inclusion Criteria
- pediatric patients undergoing general anesthesia under 6 years old
Exclusion Criteria
- arrhythmia
- <30%, ejection fraction
- lung disease
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description lung recruitment maneuver lung recruitment maneuver Heart rate, mean arterial pressure, stroke volume, pulse pressure variations, pleth variability index, and photoplethysmographic waveform were recorded before lung recruitment maneuver (application of continuous positive airway pressure of 25 cm H2O for 20 s), during lung recruitment maneuver when stroke volume reached its minimal value. Cardiac index measured before and after volume expansion (10ml/kg saline, 0.9%, infused during 10 min). Patients were considered as responders to fluid administration if cardiac index increased greater than or equal to 15%.
- Primary Outcome Measures
Name Time Method photoplethysmographic waveform change from baseline photoplethysmographic waveform after lung recruitment maneuver within 30 seconds
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
Seoul National University Hospital
🇰🇷Seoul, Korea, Republic of