Influence of Tidal Volume During Mechanical Ventilation on Postoperative Clinical Outcome in Pediatric Patients Undergoing Congenital Heart Surgery
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Patients Who Underwent Surgery for Congenital Heart Disease
- Sponsor
- Samsung Medical Center
- Enrollment
- 1000
- Locations
- 1
- Primary Endpoint
- Patient Mortality
- Status
- Completed
- Last Updated
- 9 years ago
Overview
Brief Summary
High tidal volume during mechanical ventilation has been reported to increase mortality in patients with acute lung injury or acute respiratory distress syndrome. High tidal volume was also reported to be associated with increased mortality in adult patients without acute lung injury or acute respiratory distress syndrome. However, the influence of high tidal volume on clinical outcome in pediatric patients who underwent surgery for congenital heart disease has not been evaluated yet. The investigators attempted to evaluate the effect of tidal volume on clinical outcome in both cyanotic and non-cyanotic congenital heart disease.
Detailed Description
High tidal volume during mechanical ventilation has been reported to increase mortality in patients with acute lung injury or acute respiratory distress syndrome. High tidal volume was also reported to be associated with increased mortality in adult patients without acute lung injury or acute respiratory distress syndrome. However, the influence of high tidal volume on clinical outcome in pediatric patients who underwent surgery for congenital heart disease has not been evaluated yet. The investigators attempted to evaluate the effect of tidal volume on clinical outcome in both cyanotic and non-cyanotic congenital heart disease.
Investigators
WonHo Kim
Assistant Professor
Samsung Medical Center
Eligibility Criteria
Inclusion Criteria
- •pediatric patients who underwent surgery for congenital heart disease with cardiopulmonary bypass between 2009 and 2013 in Samsung Medical Center
Exclusion Criteria
- •patients who lack data regarding mortality, creatinine, estimated glomerular filtration rate, or urine output.
Outcomes
Primary Outcomes
Patient Mortality
Time Frame: six month after surgery
Patient Mortality at six month after surgery
Secondary Outcomes
- Patient Mortality(in-hospital, one-month, and one-year after surgery)
- acute kidney injury as defined by RIFLE criteria (for Risk, Injury, Failure, Loss, End-stage kidney disease)(during one week after surgery)