Pediatric Urologic Surgeries
Conditions
Keywords
Gastric insufflation, I-gel, Peak airway pressure, Pressure-controlled ventilation, Volume-Controlled Ventilation, pediatric patient
Brief summary
The purpose of this study is to compare peak airway pressure and gastric insufflation in Pressure-Controlled Ventilation or Volume-Controlled Ventilation with I-Gel in pediatric patient
Interventions
Sponsors
Yonsei University
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Caregiver)
Eligibility
Sex/Gender
ALL
Age
6 Months to 7 Years
Healthy volunteers
No
Inclusion criteria
① ASA I-II patients aged between 1 and 7 year undergoing elective urologic surgery.
Exclusion criteria
* parent refusal * clinically significant respiratory disease ③ congenital airway abnormalities, oropharyngeal or facial pathology ④ risk of aspiration
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Gastric insufflation determined by increase of cross sectional area of gastric antrum, measured by ultrasonography. | 1 min after I-gel insertion |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| oropharyngeal leak pressure | 1 min after caudal block | — |
| FOB grade | 1 min after I-gel insertion | grade 1= only the vocal cords visible, 2= vocal cords and epiglottis visible, 3= only the epiglottis visible, 4= vocal cords and epiglottis not visible |
| peak airway pressure | 1 min after I-gel insertion | — |
Other
| Measure | Time frame | Description |
|---|---|---|
| dynamic compliance | 1 min after end of surgery | — |
| typical gurgle or whoosh sound | 1 min after caudal block | gastric insufflation determined by continuous epigastric auscultation |
Outcome results
None listed