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Influence of altitude on cerebral and splanchnic oxygen saturation in critically ill children during air ambulance transport

Not Applicable
Completed
Conditions
Critical illness
Respiratory - Normal development and function of the respiratory system
Registration Number
ACTRN12619001710112
Lead Sponsor
Karolinska University Hospital
Brief Summary

Not available

Detailed Description

Not available

Recruitment & Eligibility

Status
Completed
Sex
All
Target Recruitment
39
Inclusion Criteria

Children scheduled for inter-hospital transport by a specialized pediatric transport team at the Pediatric Intensive Care Unit (PICU) at the Astrid Lindgren Children’s Hospital, Karolinska University Hospital in Stockholm, Sweden.

Exclusion Criteria

Flights with an estimated duration less than 50 minutes and flights with a need for sea level cabin altitude. Lack of informed consent, participation in any other clinical research study,

Study & Design

Study Type
Observational
Study Design
Not specified
Primary Outcome Measures
NameTimeMethod
umber and percentage of patients with cerebral oxygen saturation levels effected 20% or more compared to ground levels. This is assessed by comparing cerebral NIRS values before flight, at sea level, with those during flight at altitude of 5000 feet or higher. Data are extracted from the NIRS monitor after the transport.[Direct after completion of patient transport];The number and percentage of patients with splanchnic<br>oxygen saturation levels effected 20% or more compared to sea level. This is assesses by comparing splanchnic NIRS values before flight, at sea level, with those during flight at altitude of 5000 feet or higher. Data are extracted from the NIRS monitor after the transport.[Direct after completion of patient transport]
Secondary Outcome Measures
NameTimeMethod
umber and percentage of patients with cyanotic heart malformations who develop a difference of 20% or more in cerebral and splanchnic oxygen saturation during flight with cabin pressurization corresponding to 5000 feet or higher compared to levels at sea level. This is assesses by comparing NIRS values before flight, at sea level, with those during flight at altitude of 5000 feet or higher. Data are extracted from the NIRS monitor after the transport.[After collection of all patient data];Number and percentage of patients with non-cyanotic heart malformations who develop a difference of 20% or more in cerebral and splanchnic oxygen saturation during flight with cabin pressurization corresponding to 5000 feet or higher compared to levels at sea level. This is assesses by comparing NIRS values before flight, at sea level, with those during flight at altitude of 5000 feet or higher. Data are extracted from the NIRS monitor after the transport.[After collection of all patient data]
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