Q24.9
Conditions
Interventions
Group 1: Comparison of neurally adjusted ventilatory assist (NAVA) with conventional ventilation modes, such as assisted and controlled ventilation, in terms of hemodynamic stability, improved cardiac
Sponsors
Kinderkardiolgie Universitätsklinikum Erlangen
Eligibility
Sex/Gender
All
Age
No minimum to 16 Years
Inclusion criteria
Inclusion criteria: "All pediatric patients who require endotracheal intubation for more than 24 hours following cardiac surgery."
Exclusion criteria
Exclusion criteria: patients under muscle relaxation
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cardiac index (based on VTI, heart rate, and aortic diameter) Estimation of right ventricular pressure (via tricuspid regurgitation gradient + central venous pressure [CVP]) TAPSE (Tricuspid Annular Plane Systolic Excursion) Resistive Index (RI) in the anterior cerebral artery (ACA), renal artery, and blood flow in the celiac trunk Central venous pressure (CVP) and arteriovenous oxygen difference (avDO2) Near-infrared spectroscopy (NIRS) monitoring in the brain and kidneys Serum lactate levels | — |
Secondary
| Measure | Time frame |
|---|---|
| Vital signs: heart rate, blood pressure, oxygen saturation, respiratory rate Ventilation parameters: PEEP, PIP, MAP, oxygen requirement, dynamic compliance Sedation requirements (Comfort-B scale, SOS-PD scale) Catecholamine requirements Urine output (ml/kg/h) | — |
Countries
Germany
Contacts
Public ContactSven Dittrich
Kinderkardiolgie Universitätsklinikum Erlangen
Outcome results
None listed