Monitoring of Lung Ventilation Through Electrical Impedance Tomography During Pediatric Surgery

Launched by AZIENDA OSPEDALIERO UNIVERSITARIA MAGGIORE DELLA CARITA · Apr 13, 2024

Keywords

ClinConnect Summary

This clinical trial is focused on understanding how anesthesia and ventilation affect the way children's lungs work during surgery. Specifically, the study will use a special monitoring technique called electrical impedance tomography (EIT) to see how air moves in different parts of the lungs while the child is under anesthesia. By learning more about this, doctors hope to improve how they manage breathing support for kids during surgery, which could lead to better outcomes.

To participate in this study, children and teenagers under 14 years old who are scheduled for elective or urgent surgeries (except for surgeries involving the chest) may be eligible. They should be healthy enough to undergo anesthesia, and their parents will need to give consent for their participation. Participants can expect to be monitored closely during their surgery, helping researchers gather important information that could enhance the safety and effectiveness of anesthesia in pediatric care. It's important to note that children with certain health issues, such as serious lung problems or a history of specific breathing complications, will not be included in this study.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 1. Children and adolescents under 14 years of age
• 2. Elective and urgent surgeries, excluding thoracic surgeries, managed with any anesthesia modality, including:
• • Deep sedation with spontaneous breathing associated with regional anesthesia
• • Deep sedation with the use of a laryngeal mask for airway control and ventilatory support
• • General anesthesia with endotracheal tube placement
• • American Society of Anesthesiologists (ASA) I-III classification
• • Negative medical history for airway infection with fever in the two weeks preceding the study, three weeks for patients with a personal history of laryngospasm and bronchospasm.
• Exclusion Criteria:
• • Age \> 14 years
• • ASA \> III
• • Known lung pathology
• • Lack of parental consent for the study
• • Occurrence of serious complications during anesthesia (such as laryngospasm or bronchospasm)