cardiac performance Mechanical ventilation
Conditions
Interventions
All patients will be ventilated For 30 minutes without PEEP, for 30 minutes
with 8 PEEP and with recruitment and PEEP for 30 minutes. After each
ventilation strategy CI will be measured and bloodgas
Sponsors
Erasmus MC, Universitair Medisch Centrum Rotterdam
Eligibility
Age
2 Years to 11 Years
Inclusion criteria
Inclusion criteria: Children weighing > 5 kg and older than 3 months of age Cardiac surgery on CPB
Exclusion criteria
Exclusion criteria: Residual intracardiac shunting (evaluated by TEE after CPB) Hemodynamically instable patients. Rhythm other than sinus Tricuspid regurgitation No informed consent
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Thermodilution Cardiac Index measurement with PiCCO (PiCCO system; Pulsion Medical Systems, Munich, Germany), right ventricular outflow impedance (TEE), functional residual capacity (GE Healthcare Engstrom Carestation) and arterial blood gases will be measured. | — |
Secondary
| Measure | Time frame |
|---|---|
| - Heart rate- Systemic arterial blood pressure- Central venous pressure - Atrial pressure | — |
Countries
Netherlands
Outcome results
None listed