Positive End Expiratory Pressure
Conditions
Brief summary
The aim of this study is to determine whether application of positive end-expiratory pressure (PEEP) improves respiratory data including respiratory compliance in children who receive positive pressure ventilation using supraglottic airway device (SAD).
Interventions
6 cmH2O of PEEP
Sponsors
Study design
Eligibility
Inclusion criteria
* Pediatric patients under 6 years of age who are scheduled simple operation under general anesthesia * SAD was used for mechanical ventilation
Exclusion criteria
* Abdominal distension, risk of pulmonary aspiration * Bronchopulmonary dysplasia/respiratory distress syndrome * Pneumothorax * Airway surgery * Thoracic surgery or laparotomy * Surgery under prone position
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Respiratory system compliance | at the end of surgery, about 2 hours after starting of mechanical ventilation | total lung and chest wall compliance, ml/cmH2O |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Respiratory system compliance | 10 minutes, 30 minutes, 60 minutes after starting of mechanical ventilation | total lung and chest wall compliance, ml/cmH2O |
| oropharyngeal leak pressure | immediate after SAD insertion | cmH2O |
| Electrical impedance tomography parameter - dynamic compliance | throughout anesthesia (about during 1-3 hours) | ventilation/airway pressure (cmH2O) |
| Electrical impedance tomography parameter - regional ventilation delay | throughout anesthesia (about during 1-3 hours) | assessment of ventilation homogeneity (no unit) |
| Electrical impedance tomography parameter - pulmonary opening pressure | throughout anesthesia (about during 1-3 hours) | pressure requiring opening of alveoli (cmH2O |
Countries
South Korea