Perioperative Lung Ultrasonography for Fast-track Cardiac Surgery
Study Details
Study Description
Brief Summary
The investigators evaluate the usefulness of lung ultrasonography in the perioperative period for postoperative outcomes in children undergoing fast track cardiac surgery.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
N/A |
Detailed Description
Some appropriate intervention such as recruitment maneuver, chest tube insertion, or diuretics will be applied depending on lung ultrasound findings.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
No Intervention: Control group No intervention is performed. Lung ultrasonography is performed within 4 hours after surgery for diagnostic purpose. |
|
Experimental: lung ultrasonography group Lung ultrasonography is performed three times; after tracheal intubation, before surgery end, and within 4 hours after surgery. In this group, respiratory management is performed according to diagnosis. |
Other: Treatment according to lung ultrasonography
Appropriate treatment for atelectasis, pleural effusion, pulmonary edema, pneumothorax or pneumonia which are confirmed by lung ultrasonography
|
Outcome Measures
Primary Outcome Measures
- Postoperative pulmonary complications [Up to postoperative day 5]
Pleural effusion, atelectasis, diaphragmatic dysfunction, pulmonary infection, embolism, respiratory failure, aspiration, pneumothorax, chylothorax, bronchospasm
Secondary Outcome Measures
- Duration of the use of inotropes [Up to postoperative day 5]
Duration of the use of inotropes
- Length of intensive care unit stay [up to postoperative day 5]
Length of intensive care unit stay
- Lung ultrasonography findings [until 4 hours after surgery]
Diagnostic lung ultrasonography
- ABGA result [within 4 hours after extubation]
arterial blood gas analysis results
- Duration of oxygen therapy [Up to postoperative day 5]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
Children receiving fast track cardiac surgery protocol
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= or < 5 years old
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Children with acyanotic heart disease
Exclusion Criteria:
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Previous history of lung resection surgery
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Preoperative chest x-ray abnormalities
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Postoperative cyanosis
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Seoul National University Hospital | Seoul | Korea, Republic of | 03080 |
Sponsors and Collaborators
- Seoul National University Hospital
Investigators
- Principal Investigator: Jin-Tae Kim, MD, PhD, Seoul National University Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- H1803-123-932