Pediatric patients (2-12 years old) undergoing laparoscopic inguinal hernia surgery
Conditions
Interventions
In pediatric patients, randomized to change PEEP from 0 to 5 cmH2O during pneumoperitoneum (P5 group) or from 0 to 10 cmH2O (P10 group) and evaluate lung compliance and percentage of ventilation distr
Sponsors
Yagihara Masahiro
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. children between 2 and 12 years of age 2. patients diagnosed with inguinal hernia who will undergo laparoscopic surgery (scheduled surgery) under general anesthesia 3. who are scheduled to be intubated with muscle relaxants 4. who will undergo surgery in the supine position 5. who have obtained consent for participation in this study by signing a consent form by a surrogate
Exclusion criteria
Exclusion criteria: 1. those with respiratory complications such as asthma or active upper airway inflammation as a preoperative complication 2. Patients with skin disease in the area of the EIT 3. Patients with a chest circumference of less than 50 cm 4. who cannot wear the EIT due to thoracic deformity 5. Patients with congenital heart disease requiring treatment 6. Subjects with neuromuscular diseases 7. other subjects whom the investigator deems inappropriate to be included in this study.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Change in dorsal ventilation rate 10 minutes after changing to PEEP 5 or PEEP 10, using the baseline before the start of surgery | — |
Secondary
| Measure | Time frame |
|---|---|
| Change in dorsal ventilation rate 5 minutes after the start of pneumoperitoneum, using the baseline before the start of surgery as the baseline. Driving pressure, peak pressure, alveolar plateau pressure, static compliance, and vital signs at each measurement point | — |
Contacts
Public ContactMasahiro Yagihara
Hamamatsu University Hospital
Outcome results
None listed