atelectasis
Conditions
Interventions
Dynamic titration group:Actuated pressure-directed PEEP titration was performed after anesthesia induction intubation, at the beginning of pneumoperitoneum and at the end of pneumoperitoneum
Single titration group:Recruitment maneuvers were performed after anesthesia induction intubation, at the beginning of pneumoperitoneum, and at the end of pneumoperitoneum. Driving-pressure-guided ind
Sponsors
Kunming Children's Hospital
Eligibility
Sex/Gender
All
Age
2 Years to 8 Years
Inclusion criteria
Inclusion criteria: (1)Age 2 ~ 8 years, ASA grade I ~?; (2) undergoing laparoscopic surgery; (3) The pneumoperitoneum time is greater than 60min; (4) Complete clinical data.
Exclusion criteria
Exclusion criteria: ? Complicated with congenital heart disease; ? Combined with respiratory diseases (pneumonia, bronchial asthma, etc.); ? The family members of the children refused to participate in the clinical trial; ?previous history of lung surgery; ?BMI = 19.8 kg /m2.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Lung ultrasound score;atelectasis incidence;oxygenation index; | — |
Secondary
| Measure | Time frame |
|---|---|
| extubation time;Respiratory mechanical index;mean arterial pressure;heart rate;peak Pressure;plateau Pressure;driving pressune;dynamic respiratory system compliance;positive end-expiratory pressure; | — |
Countries
China
Contacts
Public ContactLiming Cheng
Kunming Children's Hospital
Outcome results
None listed