Postoperative pulmonary complications. Unspecified complication of procedure
Conditions
Interventions
Intervention 1: Intervention group: From the Fisher & Paykel MR850 Series we select two types of nasal cannula based on baby weight and body mass index: nasal cannula that offers maximal flow rate of
Sponsors
Sabzevar University of Medical Sciences
Eligibility
Sex/Gender
All
Age
1 Months to 24 Months
Inclusion criteria
Inclusion criteria: Children older than one month and less than two years old Children with congenital heart problems based on RACHS 2 or 3 criteria Full conscious
Exclusion criteria
Exclusion criteria: History of renal Disease History of pulmonary disease History of brain disease History of Endocrine Disease Preoperative infection history Pre-operative mechanical ventilation Moderate to severe anemia (hemoglobin less than 10 mg / dL) Severe electrolyte and acid-base disturbances (pH lower than 7.30 and greater than 7.50) Malnutrition
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Atelectasis is the sleeping or closing of the alveoli. Timepoint: Evaluation of atelectasis is monitored and recorded daily using plain chest x-ray on arrival at the ICU as well as by ultrasound. Method of measurement: Used for the evaluation of pulmonary complications, including atelectasis, a portable SonoSite EDGE ultrasound system with a pediatric size probe.;Arterial Oxygen Pressure: Oxygen pressure (Po2) is an indirect measure of arterial blood oxygen content and its normal range is between 80-100 mmHg. Timepoint: On admission to the ICU and after 6 hours in the ICU during mechanical ventilation and before extubation and immediately after extubation and at 1, 2, 6, 12, 24 and 36 hours after HFNC or conventional oxygen therapy, respectively.will be measured. Method of measurement: Arterial blood pressure was measured using an arterial blood sample and a GEM3000 blood gas analyzer.;Arterial carbon dioxide pressure: The relative pressure of CO2 in arterial blood is called Pco2, which is a sign of ventilation. Normal body Pco2 ranges from 35 to 45 mm Hg in adults and 41 to 26 mm Hg in children younger than 2 years. Timepoint: On admission to the ICU and after 6 hours in the ICU during mechanical ventilation and before extubation and immediately after extubation and at 1, 2, 6, 12, 24 and 36 hours after HFNC or conventional oxygen therapy, respectively.will be measured. Method of measurement: Arterial blood pressure was measured using an arterial blood sample and a GEM3000 blood gas analyzer.;PAO2 / FIO2 Ratio: The ratio of arterial oxygen pressure and tail oxygen content, a comparison between the level of oxygen in the blood and the oxygen concentration that breathes. Normal PaO2 content: FiO2 = 100 mmHg / 500 0.2 0.21. Timepoint: On admission to the ICU and after 6 hours in the ICU during mechanical ventilation and before extubation and immediately after extubation and at 1, 2, 6, 12, 24 and 36 hours after HFNC or conventional oxygen therapy, respectively.will be | — |
Countries
Iran (Islamic Republic of)
Contacts
Public ContactFarzaneh Enayati
Sabzevar University of Medical Sciences
Outcome results
None listed