Elective Surgery, Invasive Ventilation
Conditions
Keywords
electrical impedance tomography
Brief summary
This is purely observational study in which quality of invasive ventilation is observed with electrical impedance tomography (EIT) during perioperative intensive care. EIT parameters will be used to assess if protective ventilation strategies are successfully followed during routine care.
Detailed description
20 neonates and infants undergoing elective surgery and requiring postoperative treatment and follow up in PICU or in pediatric anestesiology clinic, will be included in this prospective observational study. Swisstom BB2-monitor and NeoSensorBelts will be used to monitor their ventilatory care from arrival to the operation room (prior intubation) to postoperative intensive care (until 2 hours after extubation). EIT parameters assessing lung aeration and ventilation distribution will be used to assess the quality of invasive ventilation.
Interventions
Swisstom BB2 EIT device and NeoSensor Belts will be used to assess lung aeration, ventilation distribution and strech during invasive ventilation in perioperative care.
Sponsors
Study design
Eligibility
Inclusion criteria
* Written informed consent from a parent of legal guardian * Infant undergoing elective or semi-elective surgery * Postoperative admission to PICU expected * Spontaneous breathing prior to study inclusion
Exclusion criteria
* Need for respiratory support prior to surgery * Thoracic surgery * Body weight \< 1500g or \> 10 kg
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Silent spacies | 24 hours | Amount of silent spaces observed in different phases of treatment in comparison to baseline |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Ventilation distribution | 24 hours | Changes from baseline in ventilation distribution will be assessed in different phases of treatment |
| Effect of interventions on ventilatory parameters | 24 hours | Relationship between intubation/invasive ventilation/extubation/spontaneous breathing and EIT findings |
Countries
Finland