Protective Ventilation
Conditions
Keywords
ventilation, paediatric patient, mechanical ventilation
Brief summary
Paediatric anaesthesiology and paediatric intensive care unit data will be retrospectively screened for the data regarding mechanical ventilation. The primary aim will be the tidal volume setting and the secondary the level of positive end-expiration pressure (PEEP) according to the inspired oxygen fraction (FIO2), and the level of driving pressure.
Detailed description
Protective positive pressure ventilation (tidal volume ≤6 mL/kg) in adult patients in intensive care is currently considered as a standard procedure. It is associated with a reduction of morbidity and positive outcome. In paediatric patients there are available only limited information related to the size of the tidal volume and it is recommended to use the volume between 5 and 8 mL per kg for the whole spectrum of ages of pediatric patients. The aim of this retrospective observational study is to evaluate the tidal volumes used in clinical practice in pediatric patients during general anesthesia and compared it to the tidal volumes used in paediatric critical care. Data will be harvested from the anaesthesiology records and from the paediatric intensive care unit charts. The tidal volume will calculated per kg of actual weight.
Interventions
OTHERData from anaesthesia records for ventilation setting screening
Data from anaesthesia records will be retrospectively screened for the ventilation settings
OTHERData from intensive care records for ventilation setting screening
Data from paediatric intensive care charts will be retrospectively screened for the ventilation settings
Sponsors
Brno University Hospital
Study design
Observational model
COHORT
Time perspective
RETROSPECTIVE
Eligibility
Sex/Gender
ALL
Age
No minimum to 19 Years
Healthy volunteers
No
Inclusion criteria
* Paediatric patients on mechanical ventilation in anaesthesia department * Paediatric patients on mechanical ventilation in intensive care department * In selected study period between 1.1.2018 - 31.1.2019
Exclusion criteria
* Age outside selected limits * Insufficient data
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Tidal volume | Intraoperative period | Tidal volume will be evaluated in the paediatric patients in anaesthesia and in intensive care unit |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Positive end-expiratory pressure settings according to the inspiration fraction of oxygen | Intraoperative period | Positive end-expiratory pressure will be evaluated in the paediatric patients in anaesthesia and in intensive care unit |
| Driving pressure | Intraoperative period | Driving pressure will be calculated from peak pressure minus PEEP in patients on mechanical ventilation in anaesthesia and in intensive care unit |
Countries
Czechia
Contacts
Primary ContactPetr Stourac, assoc.Prof.MD.Ph.D
Backup ContactJozef Klucka, MD
Outcome results
None listed