Anesthesia, General, Blood Gas Analysis, Blood Gas Monitoring, Transcutaneous, Congenital Heart Disease
Conditions
Keywords
Qp/Qs ratio, Pediatric congenital heart disease
Brief summary
In pediatric cardiac patients with shunt dependent pulmonary circulation, Qp/Qs ratio is a important parameter indicating the balance of pulmonaty and systemic circulation. This study will calculate Qp/Qs using variables measured using non-invasive monitors (cerebral oximeter and pulse oximeter). This value will be compared with Qp/Qs calculated using variables obtained from blood sample.
Detailed description
Blood sampling will be performed in both arterial and central venous lines.
Interventions
Op/Qs -monitor will be calculated using SpO2 and cerebral oximetry Op/Qs -blood will be calculated using ABGA and VBGA
Sponsors
Study design
Eligibility
Inclusion criteria
1. pediatric cardiac patients scheduled to cardiac operation (shunt dependent pulmonary circulation) 2. preoperative SpO2\<97%
Exclusion criteria
1. unable to measure pulse oximeter or cerebral oximeter signal 2. unable to measure SaO2 or SmvO2 3. unstable vital sign
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| the difference between Qp/Qs-monitor and Qp/Qs-blood | within 1 week after surgery | the difference between Qp/Qs-monitor (measure by pulse oximeter and NIRS) and Qp/Qs-blood (measured by blood gas analysis) |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| the difference between SpO2 and SaO2 | within 1 week after surgery | the difference between SpO2 (measure by pulse oximeter)and SaO2 (measured by blood gas analysis) |
| the difference between cerebral oximeter score and and SmvO2 | within 1 week after surgery | the difference between cerebral oximeter (measure by NIRS)and SmvO2 (measured by blood gas analysis) |
Countries
South Korea