Pulmonary Complication
Conditions
Brief summary
The investigator will evaluate the influence of lung protective ventilation on postoperative clinical outcome in pediatric patients. The hypothesis is that application of low tidal volume, intermittent alveolar recruitment and adequate positive end-expiratory pressure (PEEP) would be more beneficial than conventional ventilation in children.
Interventions
TV 4 ml/kg during one lung ventilation and 6 ml/kg during two-lung ventilation with PEEP of 6 cmH2O
TV 8 ml/kg during one lung ventilation and 10 ml/kg during two-lung ventilation without PEEP
Sponsors
Study design
Eligibility
Inclusion criteria
* Children who are scheduled for lung lobectomy under general anesthesia * ASA physical status I, II
Exclusion criteria
* History of airway or pulmonary interstitial disease * Active URI * Systemic inflammatory response disease * cardiac disease
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The number of patients with pulmonary complication | up to postoperative 7 days | The number of patients with pulmonary complication including atelectasis, pulmonary infiltration, pulmonary edema, pulmonary infection, pleural effusion and pulmonary embolism |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| The number of patients with desaturation | During surgery | The number of patients with desaturation (SpO2 \< 90%) |
| The number of patients with extrapulmonary complication | through study completion, an average of 1 year | — |
| Mean duration of mechanical ventilation | through study completion, an average of 1 year | — |
| Mean duration of ICU stay | through study completion, an average of 1 year | — |
Countries
South Korea