Cardiac Surgical Procedures, Lung, Pediatrics, Perioperative Period, Ultrasonography
Conditions
Brief summary
Investigators hypothesized that perioperative lung ultrasound would be beneficial in pediatric patients undergoing cardiac surgery compared to those who did not receive lung ultrasound.
Interventions
Lung ultrasound with appropriate interventions depending on the ultrasound finding
Sponsors
Study design
Eligibility
Inclusion criteria
* Acyanotic congenital heart disease patients undergoing cardiac surgery under general anesthesia
Exclusion criteria
* History of surgery on the lungs * Cyanotic congenital heart disease * Abnormal preoperative chest radiograph findings including atelectasis, pneumothorax, pleural effusion, and pneumonia * Considered inappropriate by the investigator
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Intraoperative incidence of pulse oximetry (SpO2) ≤ 95% (or 10% below the baseline value) | from the induction of general anesthesia until the end of the surgery, up to 24 hours |
| Postoperative incidence of SpO2 ≤ 95% (or 10% below the baseline value) | within the first day after surgery |
| Postoperative incidence of respiratory complications | within the first day after surgery |
Secondary
| Measure | Time frame |
|---|---|
| Intraoperative partial pressure of oxygen in arterial blood (PaO2) from arterial blood gas analysis | from the induction of general anesthesia until the end of the surgery, up to 24 hours |
| Days needed to wean from mechanical ventilation | up to 1 month |
| Postoperative partial pressure of oxygen in arterial blood (PaO2) from arterial blood gas analysis | within the first day after surgery |
| Initial SpO2 on arriving at pediatric intensive care unit | from the end of the surgery until postoperative 1 hour |
Countries
South Korea