Health Condition 1: Q50-Q56- Congenital malformations of genital organs Health Condition 2: Q60-Q64- Congenital malformations of the urinary system Health Condition 3: Q00-Q99- Congenital malformations, deformations and chromosomal abnormalities Health Condition 4: K00-K95- Diseases of the digestive system Health Condition 5: N00-N99- Diseases of the genitourinary system Health Condition 6: M00-M99- Diseases of the musculoskeletal system and connective tissue Health Condition 7: K40-K46- Hernia
Conditions
Interventions
Intervention1: Delivering tidal volume based on predicted body weight as per height in malnourished children: After induction, patient will be ventilated with volume control ventilation (VCV) with tid
Sponsors
AIIMS New Delhi
Eligibility
Inclusion criteria
Inclusion criteria: 1)Parental willingness to give consent for inclusion in study. 2)Malnourished children with measured body weight 5 to 8 years. 3)Children aged 1-8 years. 4)Children with physical status ASA grade 1-3 5)Children undergoing elective surgery of duration more than 30 minutes in supine position.
Exclusion criteria
Exclusion criteria: 1)Parental refusal to participate in the study. 2)Children with known severe lung disease, history of severe lung infection having post infection sequelae in preoperative chest x-ray. 3)Children with known deformity of chest wall or thoracic spine. 4)Children undergoing surgery in any position other than supine and lithotomy position. 5)Children undergoing laparoscopic surgery. 6)Children with pre-existing significant cardiac, renal, or hepatic diseases. 7)Children with history of previous thoracic surgery. 8)Children with BMI > 30 kg/m2
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Difference in lung aeration score between both groups in PACU one hour after extubation. Lung aeration will be assessed by lung ultrasound score.Timepoint: one hour after extubation in PACU | — |
Secondary
| Measure | Time frame |
|---|---|
| 1)Incidence of positive air test 2)SpO2/ FiO2 (S/F) ratio 3)Oxygen Saturation Index (OSI) 4)Duration of oxygen supplementation between both groups to maintain oxygen saturation of â?¥ 97% in PACU. 5)Number of patients requiring oxygen supplementation in ward 6)Age group specific time weighted average of Peak airway pressure (PIP), Plateau pressure (Pplat) and Driving pressure (DP) between both groups during the intraoperative period. 7)Age group specific time weighted average of mechanical power between both groups during the intraoperative period. 8)Age group specific respiratory rate between both groups.Timepoint: 1)5 minutes after induction and the end of surgery before extubation and in PACU one hour after extubation 2)5 minutes after induction and at the end of surgery before extubation. 3)5 minutes after induction and at the end of surgery before extubation. 4)in PACU 5)in first 3 postoperative days in ward 6)after confirmation of proper positioning of ET tube and then at a five minutes interval till extubation 7) Intraoperative period 8)Intraoperative period | — |
Countries
India
Contacts
Public ContactAyushi
AIIMS New Delhi
Outcome results
None listed