Intraoperative Lung Ultrasound in Pediatric Patients (LUS)
Benefit of Intraoperative Lung Ultrasound in Pediatric Patients Undergoing Cardiac Surgery
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Not Applicable
Contacts and Locations
Study Locations
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-
-
Seoul, Korea, Republic of, 110-744
- Seoul National University Hospital
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-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Acyanotic congenital heart disease patients undergoing cardiac surgery under general anesthesia
Exclusion Criteria:
- History of surgery on the lungs
- Cyanotic congenital heart disease
- Abnormal preoperative chest radiograph findings including atelectasis, pneumothorax, pleural effusion, and pneumonia
- Considered inappropriate by the investigator
Study Plan
How is the study designed?
Design Details
- Primary Purpose: SUPPORTIVE_CARE
- Allocation: RANDOMIZED
- Interventional Model: PARALLEL
- Masking: NONE
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
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Placebo Comparator: Control
No intervention during the perioperative period.
Perform lung ultrasound twice only for the diagnostic purpose at the end of surgery and 6 to 12 hours after surgery in the intensive care unit.
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Lung ultrasound with appropriate interventions depending on the ultrasound finding
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Active Comparator: Ultrasound
Perform lung ultrasound three times during the perioperative period; after the induction of general anesthesia, at the end of surgery, and 6 to 12 hours after surgery in the intensive care unit.
According to the lung ultrasound finding, conduct appropriate interventions such as, alveolar recruitment maneuver for atelectasis, or chest tube insertion for pneumothorax.
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Lung ultrasound with appropriate interventions depending on the ultrasound finding
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What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Intraoperative incidence of pulse oximetry (SpO2) ≤ 95% (or 10% below the baseline value)
Time Frame: from the induction of general anesthesia until the end of the surgery, up to 24 hours
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from the induction of general anesthesia until the end of the surgery, up to 24 hours
|
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Postoperative incidence of SpO2 ≤ 95% (or 10% below the baseline value)
Time Frame: within the first day after surgery
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within the first day after surgery
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Postoperative incidence of respiratory complications
Time Frame: within the first day after surgery
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within the first day after surgery
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Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Intraoperative partial pressure of oxygen in arterial blood (PaO2) from arterial blood gas analysis
Time Frame: from the induction of general anesthesia until the end of the surgery, up to 24 hours
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from the induction of general anesthesia until the end of the surgery, up to 24 hours
|
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Postoperative partial pressure of oxygen in arterial blood (PaO2) from arterial blood gas analysis
Time Frame: within the first day after surgery
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within the first day after surgery
|
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Initial SpO2 on arriving at pediatric intensive care unit
Time Frame: from the end of the surgery until postoperative 1 hour
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from the end of the surgery until postoperative 1 hour
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Days needed to wean from mechanical ventilation
Time Frame: up to 1 month
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up to 1 month
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Collaborators and Investigators
Sponsor
Sponsor
Publications and helpful links
General Publications
- Acosta CM, Maidana GA, Jacovitti D, Belaunzaran A, Cereceda S, Rae E, Molina A, Gonorazky S, Bohm SH, Tusman G. Accuracy of transthoracic lung ultrasound for diagnosing anesthesia-induced atelectasis in children. Anesthesiology. 2014 Jun;120(6):1370-9. doi: 10.1097/ALN.0000000000000231.
- Tusman G, Bohm SH, Tempra A, Melkun F, Garcia E, Turchetto E, Mulder PG, Lachmann B. Effects of recruitment maneuver on atelectasis in anesthetized children. Anesthesiology. 2003 Jan;98(1):14-22. doi: 10.1097/00000542-200301000-00006.
- Lutterbey G, Wattjes MP, Doerr D, Fischer NJ, Gieseke J Jr, Schild HH. Atelectasis in children undergoing either propofol infusion or positive pressure ventilation anesthesia for magnetic resonance imaging. Paediatr Anaesth. 2007 Feb;17(2):121-5. doi: 10.1111/j.1460-9592.2006.02045.x.
- Bronicki RA, Chang AC. Management of the postoperative pediatric cardiac surgical patient. Crit Care Med. 2011 Aug;39(8):1974-84. doi: 10.1097/CCM.0b013e31821b82a6.
- Vitale V, Ricci Z, Cogo P. Lung ultrasonography and pediatric cardiac surgery: first experience with a new tool for postoperative lung complications. Ann Thorac Surg. 2014 Apr;97(4):e121-4. doi: 10.1016/j.athoracsur.2014.01.060.
Study record dates
Study Major Dates
Study Start
Study Start
Primary Completion (Actual)
Primary Completion
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Other Study ID Numbers
Other Study ID Numbers
- 1507-062-687
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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