Respiratory insufficiency
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: All patients aged 0 - 5 years who are mechanically ventilated for at least 24 hours
Exclusion criteria
Exclusion criteria: - Physical restrains (e.g. syndromal disorders) making it impossible to obtain required images - Aortic stenosis - Congenital heart defects resulting in a single ventricle physiology. - Patients on ECMO - Patients who are haemodynamically unstable - premature birth with gestational age corrected for post-conceptional age less than 40 weeks - congenital or acquired neuromuscular disorders - congenital or acquired central nervous system disorders with depressed respiratory drive - severe traumatic brain injury (i.e. Glasgow Coma Scale
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Cardiac output at different levels of PEEP | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary objectives included a) assessment of right ventricular parameters at different levels of PEEP, b) relationship of changes in primary outcome to respiratory mechanics and c) influence of phase of illness on these parameters. | — |
Countries
Netherlands