Comparing Different Startegies of Positive Pressure Ventilation in Children

Launched by BENI-SUEF UNIVERSITY · Sep 21, 2024

Keywords

ClinConnect Summary

This clinical trial is studying different methods of helping children breathe during surgery, specifically for those undergoing a procedure called laparoscopic inguinal hernia repair. The researchers want to compare two common ways of providing ventilation: one that ensures a specific amount of air is delivered (called volume-controlled ventilation) and another that adjusts the air pressure to keep the breathing comfortable (called pressure-controlled ventilation). By understanding which method works better, the team hopes to improve the care and safety of young patients during surgery.

To participate in this trial, children must be between 1 and 5 years old and scheduled for the hernia repair surgery. However, children with certain health issues, such as serious lung or heart problems, recent respiratory infections, or those who are significantly overweight, will not be eligible. If a child joins the study, they will receive one of the two ventilation methods during their surgery, and their recovery will be monitored to see how well they do. This research aims to find the safest and most effective way to support children's breathing during surgery.

Gender

ALL

Eligibility criteria

• Inclusion Criteria:
• • 1. age between 1 and 5 years.
• • 2. patient scheduled for laparoscopic inguinal hernia repair.
• • 3. American Society of Anesthesiologists classification of physical status of I-II.
• Exclusion Criteria:
• • 1. cardiopulmonary disease.
• • 2. severe hepatorenal dysfunction.
• • 3. history of upper respiratory tract infection 2 weeks before the operation.
• • 4. overweight \[more than 20% of standard body weight\].
• • 5. neuromuscular disease.
• • 6. anticipated difficult airway.
• • 7. hiatus hernia or gastroesophageal reflux disease.