Electrical Impedance Tomography (EIT) Monitoring of Regional Ventilation During Pediatric Laparoscopy

Launched by VITTORE BUZZI CHILDREN'S HOSPITAL · Apr 8, 2023

Keywords

ClinConnect Summary

This clinical trial is looking at a special technique called Electrical Impedance Tomography (EIT) to monitor how well children breathe during laparoscopic surgery, which is a minimally invasive procedure. The goal is to see how general anesthesia and the surgery itself affect breathing in different areas of the lungs in healthy children. The study is currently recruiting participants aged between 1 and 18 years who are scheduled for elective or urgent laparoscopic surgeries, such as removing the appendix or gallbladder.

To participate in the trial, children must be healthy enough to be classified as ASA status I or II, meaning they are not severely ill. However, children with certain health issues—like severe respiratory illnesses, serious heart problems, or those who have had recent surgery—are not eligible. If a child joins the study, they will have EIT measurements taken at various times around their surgery to help doctors understand how the procedure impacts their breathing. Parents will need to give consent for their child to be part of this research. This study could provide valuable insights into how to improve care for children undergoing similar procedures in the future.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • ASA Status I and II
• • elective or urgent laparoscopic procedures (e.g., appendectomy, cholecystectomy, varicocelectomy)
• Exclusion Criteria:
• • Lack of parental consent
• • ASA status III-IV
• • Presence of peritonitis or other abdominal inflammatory process that could potentially interfere with spontaneous breathing ventilation
• • Need for immediate resuscitation maneuvers
• • Severe respiratory illness in the previous 4-6 weeks
• • Pre-existing chronic pulmonary conditions
• • Concomitant acute pulmonary conditions (e.g. pneumonia, pleural effusion)
• • Cardiac arrest
• • Skeletal deformities (e.g. rib cage malformations or scoliosis), neuromuscular diseases or cardiac conditions affecting respiratory mechanics
• • BMI \> 30
• • Presence of implantable devices not compatible with EIT (such as pacemakers and implantable defibrillators)