Perioperative Atelectasis
Conditions
Interventions
experimental group:Individual PEEP titration under the guidance of EIT was performed on intraoperative ventilation in the experimental group, and atelectasis was evaluated and scored by lung ultrasoun
control group:The control group was given fixed peep of 5cmH2O during intraoperative ventilation. Atelectasis was evaluated and scored by lung ultrasound after intubation(T1), after surgery(T2), and 1
Sponsors
Xinhua Hospital Affilliated to Shanghai Jiao Tong University School of Medicine
Eligibility
Sex/Gender
All
Age
2 Years to 7 Years
Inclusion criteria
Inclusion criteria: 1. ASAI-II, children who are about to undergo laparoscopic surgery; 2. Informed consent was obtained from patients or their family members.
Exclusion criteria
Exclusion criteria: 1. Patients with hemodynamic instability; 2. Patients with abdominal distension or obvious lung, heart or chest wall disease; 3. Obese or overweight children; 4. The operation time is more than 2 hours.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Atelectasis ultrasound score (LUS); | — |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of atelectasis in children assessed by lung ultrasound after intubation (T1) and one hour after surgery (T3);Lung compliance;Respiratory mechanical index (airway resistance, airway plateau pressure, peak pressure, pressure equalization);blood pressure;Heart Rate;SpO2;Incidence of hemodynamic unstable events;Incidence of postoperative airway adverse events;Length of stay; | — |
Countries
China
Contacts
Public ContactWang Shenghua
Xinhua Hospital Affilliated to Shanghai Jiao Tong University School of Medicine
Outcome results
None listed