Pulmonary Complication
Conditions
Brief summary
The investigators evaluate the usefulness of lung ultrasonography in the perioperative period for postoperative outcomes in children undergoing fast track cardiac surgery.
Detailed description
Some appropriate intervention such as recruitment maneuver, chest tube insertion, or diuretics will be applied depending on lung ultrasound findings.
Interventions
OTHERTreatment according to lung ultrasonography
Appropriate treatment for atelectasis, pleural effusion, pulmonary edema, pneumothorax or pneumonia which are confirmed by lung ultrasonography
Sponsors
Seoul National University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
DOUBLE (Subject, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
No minimum to 5 Years
Healthy volunteers
No
Inclusion criteria
* Children receiving fast track cardiac surgery protocol * = or \< 5 years old * Children with acyanotic heart disease
Exclusion criteria
* Previous history of lung resection surgery * Preoperative chest x-ray abnormalities * Postoperative cyanosis
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Postoperative pulmonary complications | Up to postoperative day 5 | Pleural effusion, atelectasis, diaphragmatic dysfunction, pulmonary infection, embolism, respiratory failure, aspiration, pneumothorax, chylothorax, bronchospasm |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Duration of the use of inotropes | Up to postoperative day 5 | Duration of the use of inotropes |
| Length of intensive care unit stay | up to postoperative day 5 | Length of intensive care unit stay |
| Lung ultrasonography findings | until 4 hours after surgery | Diagnostic lung ultrasonography |
| ABGA result | within 4 hours after extubation | arterial blood gas analysis results |
| Duration of oxygen therapy | Up to postoperative day 5 | — |
Countries
South Korea
Contacts
Primary ContactJin-Tae Kim, MD, PhD
Outcome results
None listed