A Prospective Observational Study Evaluating Extubation Criteria in Children Less Than 8 Years of Age With Upper Respiratory Infection Undergoing Outpatient or Day Hospital Based Surgery
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 760
- 试验地点
- 1
- 主要终点
- Rate of participants with a successful extubation
研究概览
简要总结
The investigators are currently completing a data collection to try to optimize pediatric patients' preoperative screening, in the setting of an upper respiratory infection.
详细描述
The objectives of this study are to evaluate various extubation criteria and their predictive value for successful extubation in non-cardiac surgical procedures. To evaluate the predictive value of room air oxygen and an original preoperative URI questionnaire in pediatric patients with URI or URI symptoms.
研究设计
- 研究类型
- Observational
- 观察模型
- Cohort
- 时间视角
- Prospective
入排标准
- 年龄范围
- — 至 7 Years（Child）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •All study participants must be undergoing general anesthesia and surgery with an endotracheal tube
- •The URI group will be participants with a score of at least 3 on our pre-operative URI survey, with planned airway instrumentation with an endotracheal tube (ETT) for their surgical procedure who are to be discharged same day or on postoperative day
- •The non URI group will be participants undergoing elective procedures with no URI symptom or recent URI. Defined as no URI or "allergy" symptom within the past 6 weeks and a score of 1 or less on the URI survey, with planned airway instrumentation with an ETT for their surgical procedure who are to be discharged same day or on postoperative day 1.
排除标准
- •History of home oxygen use or ventilator dependence,
- •Patients undergoing emergent procedures.
- •Patients with cyanotic congenital heart disease.
- •Patients receiving a surgical procedure where the duration of post procedure
- •admission is anticipated to be greater or equal to 2 postoperative days.
- •Patients undergoing anesthesia for imaging procedures alone.
- •Patients who are extubated deep intentionally.
- •Patients intended to be managed with supraglottic airway.
- •Patients undergoing total IV anaesthesia (TIVA).
研究组 & 干预措施
URI group
This group includes participants <8 years of age undergoing elective procedures with a score of at least 3 on our pre-operative URI survey.
non-URI group
This group includes participants <8 years of age undergoing elective procedures with no URI symptoms or recent URI.
结局指标
主要结局
Rate of participants with a successful extubation
时间窗: Day 1
The quality of extubation will be graded as successful, intervention required or major intervention required
The rate of successful extubation in children with at least 3 of the five criteria present
时间窗: Day 1
The 5 criteria (facial grimace, eye opening, conjugate gaze, purposeful movement, and tidal volume \> 5 cc/kg)
Rate of participants with an extubation requiring intervention
时间窗: Day 1
The quality of extubation will be graded as successful, intervention required or major intervention required
Rate of participants with an extubation requiring major intervention
时间窗: Day 1
The quality of extubation will be graded as successful, intervention required or major intervention required
次要结局
- Rate of on time and anticipated discharge from the hospital(Up to 5 days after discharge)
- Rate of patients seeking additional care following discharge for respiratory related symptoms(Up to 5 days after discharge)
- Preoperative room air oxygen saturation(Day 1)
- Rate of extubation success per the number of factors present at time of extubation(Day 1)