Determination of Optimal Positive End-expiratory Pressure Using Electrical Impedance Tomography in Children Under General Anesthesia: Comparison Between Supine and Prone Positions
Not Applicable
Completed
- Conditions
- General Anesthesia
- Interventions
- Other: Exploration of optimal PEEP in supine and prone position
- Registration Number
- NCT05275309
- Lead Sponsor
- Seoul National University Hospital
- Brief Summary
The purpose of this study was to determine the appropriate positive end-expiratory pressure (PEEP) using electrical impedance tomography (EIT) in children under general anesthesia and to investigate whether there is a difference between the supine and prone positions.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 33
Inclusion Criteria
- Children <= years of age who are scheduled for surgery in the prone position under general anesthesia
Exclusion Criteria
- Respiratory distress, bronchopulmonary dysplasia
- Pneumothorax
- Increased intracranial pressure
- History of airway surgery
- Cervical or thoracic surgery
- Pulmonary hypertension
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- SINGLE_GROUP
- Arm && Interventions
Group Intervention Description Children <= 1 years old Exploration of optimal PEEP in supine and prone position Pediatric patients \<= 1 years old of age scheduled for surgery in the prone position
- Primary Outcome Measures
Name Time Method Optimal PEEP level at prone position 1 hour after prone positioning (prone) Optimal PEEP level (cmH2O) determination using electrical impedance tomography at prone position
Optimal PEEP level at spine position 10 minutes after intubation (supine) Optimal PEEP level (cmH2O) determination using electrical impedance tomography at supine position
- Secondary Outcome Measures
Name Time Method Dynamic compliance measured using Electrical impedance tomography until 1 hour after prone positioning ventilation/pressure (ml/cmH2O)
regional ventilation delay measured using Electrical impedance tomography until 1 hour after prone positioning ventilation time delay during one breath (no unit)
atelectasis/overdistension ratio measured using Electrical impedance tomography until 1 hour after prone positioning The degree comparing atelectasis and overdistension (no unit)
pulmonary opening pressure measured using Electrical impedance tomography until 1 hour after prone positioning alveoli opening pressure (cmH2O)
Trial Locations
- Locations (1)
Hee-Soo Kim
🇰🇷Seoul, Korea, Republic of