Ventilation Therapy; Complications
Conditions
Brief summary
This study aimed to investigate the differences in positive end-expiratory pressure titration in the supine and prone positions by age in pediatric patients under 17 years of age who received general anesthesia and then evaluate the hemodynamic stability.
Interventions
Titrating positive end-expiratory pressure
Sponsors
Study design
Eligibility
Inclusion criteria
* patients who are scheduled to undergo general anesthesia in the prone position * patients who are in age under 17 years
Exclusion criteria
* had cyanosis or chronic respiratory failure * had respiratory distress syndrome or bronchopulmonary dysplasia * had laryngotracheal diseases * had pulmonary hypertension * receiving oxygen therapy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Optimal positive end-expiratory pressure (PEEP) | 10 minutes after intubation | result of decremental PEEP trial |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| regional respiratory system compliance | 60 minutes after prone positioning | respiratory parameters measured by EIT device |
| overdistension or atelectasis | 10 minutes after intubation | respiratory parameters measured by EIT device |
| end-expiratory lung volume | 10 minutes after intubation | respiratory parameters measured by EIT device |
| end-expiratory lung impedance | 10 minutes after intubation | respiratory parameters measured by EIT device |
| Impedance tidal variation | 10 minutes after intubation | respiratory parameters measured by Electrical Impedance Tomography (EIT) device |
| center of ventilation | 10 minutes after intubation | respiratory parameters measured by EIT device |
| vital signs | 10 minutes after intubation | blood pressure (mmHg) |
| arterial blood gas analysis, if patients has arterial catheter | 10 minutes after intubation & 60 minutes after prone positioning | oxygen and cardon dioxide tension |
| regional ventilation delay | 10 minutes after intubation | respiratory parameters measured by EIT device |
Countries
South Korea