Need for endotracheal intubation ( OPS 8-71 ) P07.2 Z38.0
Conditions
Interventions
Group 1: Intervention Group/ EIT-group (n=30)
Before a planned endotracheal intubation and mechanical ventilation for a scheduled elective procedure in pediatric cardiac surgery or pediatric surgery (
if necessary, the tube depth is adjusted. Planned measurement duration with the belt: approximately 10 minutes around the intubation.
At the end of the procedure, the EIT belt is reapplied to monitor
Sponsors
Uniklinik Bonn, Klinik für Neonatologie und Pädiatrische Intensivmedizin
Eligibility
Sex/Gender
All
Age
No minimum to 18 Years
Inclusion criteria
Inclusion criteria: All preterm infants, term newborns, and children undergoing an elective surgical procedure with planned intubation anesthesia may be included in the study.
Exclusion criteria
Exclusion criteria: 1) Patients receiving palliative care 2) Patients with known malformations of the airways (larynx and trachea/bronchi) 3) Lack of parental consent prior to the elective procedure 4) Contraindication to performing EIT measurement according to approval (e.g., presence of a pacemaker) or inability to perform EIT measurement on the thorax due to wound dressings or indwelling drains.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Diagnosis of incorrect endotracheal tube placement based on the following two parameters: a) Center of Ventilation (x/y): target value 0.5 (± 0.05) b) Region of Interest: ventral/dorsal and right/left ? target value: 50:50 (± 5%) | — |
Secondary
| Measure | Time frame |
|---|---|
| 1) Median values of various EIT indices: a) Global Inhomogeneity Index (GI Index) b) Center of Ventilation c) Silent Spaces d) End-Expiratory Lung Impedance (EELI) 2) Misplacement of the tube outside the trachea (esophageal intubation) | — |
Countries
Germany
Contacts
Public ContactLukas Schröder
Uniklinik Bonn, Klinik für Neonatologie und Pädiatrische Intensivmedizin
Outcome results
None listed