Pulmonary Atelectasis
Conditions
Keywords
ultrasonography, child, perioperative period, general anesthesia, lung
Brief summary
Investigators hypothesized that maintaining low fraction of inspired oxygen would be beneficial to prevent anesthesia-induced atelectasis in mechanically ventilated children undergoing general anesthesia.
Interventions
Lung ultrasound on both hemithorax in supine position
Appropriate respiratory managements depending on the lung ultrasound findings
Sponsors
Study design
Eligibility
Inclusion criteria
* Expected operation time between 1 to 3 hours under general anesthesia * Mechanically ventilated after endotracheal intubation
Exclusion criteria
* Cardiac, thoracic, abdominal surgery * History of surgery on the lungs * Laparoscopic surgery * Abnormal preoperative chest radiograph findings including atelectasis, pneumothorax, pleural effusion, and pneumonia * Considered inappropriate by the investigator
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of postoperative atelectasis | within the first day after the surgery |
Secondary
| Measure | Time frame |
|---|---|
| Incidence of atelectasis after endotracheal intubation | from the moment of endotracheal intubation until the end of surgery, up to 4 hours |
| 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 4 hours |
| Postoperative incidence of pulse oximetry (SpO2) ≤ 95% (or 10% below the baseline value) | within the first day after the surgery |
| Postoperative incidence of fever (≥37.5℃) | within the first day after the surgery |
| Postoperative incidence of respiratory complications | within the first day after the surgery |
Countries
South Korea