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Positive end-expiratory pressure during pneumoperitoneum changes the Electrical Impedance Tomography ventilation distribution in pediatric patients.

Not Applicable
Recruiting
Conditions
Pediatric patients (2-12 years old) undergoing laparoscopic inguinal hernia surgery
Registration Number
JPRN-jRCT1042230139
Lead Sponsor
Yagihara Masahiro
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Recruiting
Sex
All
Target Recruitment
40
Inclusion Criteria

1. children between 2 and 12 years of age
2. patients diagnosed with inguinal hernia who will undergo laparoscopic surgery (scheduled surgery) under general anesthesia
3. who are scheduled to be intubated with muscle relaxants
4. who will undergo surgery in the supine position
5. who have obtained consent for participation in this study by signing a consent form by a surrogate

Exclusion Criteria

1. those with respiratory complications such as asthma or active upper airway inflammation as a preoperative complication
2. Patients with skin disease in the area of the EIT
3. Patients with a chest circumference of less than 50 cm
4. who cannot wear the EIT due to thoracic deformity
5. Patients with congenital heart disease requiring treatment
6. Subjects with neuromuscular diseases
7. other subjects whom the investigator deems inappropriate to be included in this study.

Study & Design

Study Type
Interventional
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
Change in dorsal ventilation rate 10 minutes after changing to PEEP 5 or PEEP 10, using the baseline before the start of surgery
Secondary Outcome Measures
NameTimeMethod
Change in dorsal ventilation rate 5 minutes after the start of pneumoperitoneum, using the baseline before the start of surgery as the baseline.<br>Driving pressure, peak pressure, alveolar plateau pressure, static compliance, and vital signs at each measurement point
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