Preventive Effect of Lung Ultrasound and Alveolar Recruitment on Atelectasis in Mechanically Ventilated Infants
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 40
- 试验地点
- 1
- 主要终点
- Postoperative incidence of pulmonary atelectasis
研究概览
简要总结
Investigators hypothesized that lung ultrasound-assisted recruitment maneuver would be beneficial in mechanically ventilated infants compared to those who did not receive lung ultrasound and alveolar recruitment maneuver.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 1 Day 至 1 Year(Child)
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Minor surgery less than 2 hours under general anesthesia
- •Mechanically ventilated after endotracheal intubation
排除标准
- •History of surgery on the lungs
- •Laparoscopic surgery
- •Abnormal preoperative chest radiograph findings including atelectasis, pneumothorax, pleural effusion, and pneumonia
- •Considered inappropriate by the investigator
研究组 & 干预措施
Control
No intervention during the perioperative period. Perform lung ultrasound twice only for the diagnostic purpose after the endotracheal intubation and and at the end of surgery.
干预措施: Lung ultrasound (Device)
Alveolar recruitment
Perform lung ultrasound twice during the perioperative period after the endotracheal intubation and and at the end of surgery. Conduct alveolar recruitment maneuver after first lung ultrasound assessment.
干预措施: Lung ultrasound (Device)
结局指标
主要结局
Postoperative incidence of pulmonary atelectasis
时间窗: within the first day after the surgery
次要结局
- Intraoperative incidence of pulmonary atelectasis after endotracheal intubation(from the moment of endotracheal intubation until the end of surgery, up to 6 hours)
- Intraoperative incidence of pulse oximetry (SpO2) ≤ 95% (or 10% below the baseline value)(from the induction of general anesthesia until the end of the surgery, up to 6 hours)
- Postoperative incidence of pulse oximetry (SpO2) ≤ 95% (or 10% below the baseline value)(within the first day after the surgery)
研究者
Jin-Tae Kim
Associate professor
Seoul National University Hospital
