Hypoxemia During Surgery
Conditions
Brief summary
This study aimed to identify the effect of oxygen reserve index monitoring on the occurrence of oxygen desaturation (\<90%) in pediatric patients undergoing airway surgery.
Interventions
DEVICEORI monitoring
Oxygen reserve index monitoring during the surgery
Sponsors
Seoul National University Hospital
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Age
1 Months to 18 Years
Healthy volunteers
No
Inclusion criteria
* pediatric patients receiving airway surgery
Exclusion criteria
* baseline oxygen saturation less than 95% * patients diagnosed as respiratory distress syndrome, bronchopulmonary dysplasia, pneumonia requiring oxygen supplements
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Hypoxemia | from induction of anesthesia to end of operation, about 3 hours | Oxygen desaturation \<= 90% |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Incidence and duration of severe hypoxemia | from induction of anesthesia to end of operation, about 3 hours | incidence and duration of oxygen desaturation \<=85% |
| Rescue oxygenation | from induction of anesthesia to end of operation, about 3 hours | the number of the surgical procedure is interrupted and the anesthetist attempts to improve oxygenation of the child. |
| Hypoxemia duration | from induction of anesthesia to end of operation, about 3 hours | Total length of time patient experienced hypoxemia during hypoxemic event (oxygen desaturation \<= 90%) |
| unexpected pediatric intensive care admission | from induction of anesthesia to end of operation, about 3 hours | requirements of unexpected pediatric intensive care admission |
| unanticipated postoperative mechanical support | from induction of anesthesia to end of operation, about 3 hours | Requirement for unanticipated postoperative mechanical ventilation or any other form of non-invasive ventilation including high-flow nasal oxygen |
| Hemodynamic instability | from induction of anesthesia to end of operation, about 3 hours | occurrence of hypotension requiring treatment, bradycardia requiring treatment, cardiac arrest with or without return of spontaneous circulation at any time during procedure |
Countries
South Korea
Outcome results
None listed