Atelectasis
Conditions
Interventions
PEEP Group:After intubation, the PEEP was adjusted to 5cmH2O, and the 5cmH2O PEEP was continued to be used in the ICU after the tube was extubated
RM Group:After intubation and at the end of the operation, lung ultrasound-guided lung recruitment manoeuvre was performed as follows: the airway pressure was gradually increased by 5 cmH2O starting f
Rehabilitation Group :On the basis of the PEEP group, manual diaphragm release was performed by professionals for 10 minutes, twice a day for a total of six days
Sponsors
Children’s Hospital of Nanjing Medical University
Eligibility
Sex/Gender
All
Age
No minimum to 4 Years
Inclusion criteria
Inclusion criteria: (1) The child was under 4 years of age, and the BMI was within the normal range; (2) Children who are hospitalized for the first time and require surgery, and the disease is diagnosed as atrial septal defect, ventricular septal defect or a combination of two defects; (3) The surgical method was open-heart surgery with small incision in the right armpit and cardiopulmonary bypass; (4) The preoperative LVEF value was within the normal range and there were no other systemic diseases; (5) The children and their families can correctly understand the purpose of this study and sign the informed consent form
Exclusion criteria
Exclusion criteria: (1) The child's preoperative ultrasound examination found atelectasis; (2) The preoperative LVEF value is not within the normal range or is combined with other systemic diseases, such as upper respiratory tract infection before surgery; (3) Severe respiratory and circulatory disorders occurred during the intervention; (4) Serious complications during or after surgery, such as respiratory failure, pneumothorax, acute respiratory distress syndrome, etc.; (5) Failure to complete the operation or temporary change of the surgical plan due to special circumstances.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of atelectasis;Lung ultrasound score; | — |
Secondary
| Measure | Time frame |
|---|---|
| Baseline data;Duration of surgery;Cardiopulmonary bypass time;Blood pressure;Oxygen saturation;Heart rate;End-tidal carbon dioxide;Tidal volume;Blood gas analysis; | — |
Countries
China
Contacts
Public ContactShan Zhong
Children’s Hospital of Nanjing Medical University
Outcome results
None listed