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The lung is at risk for ischemic insults during total cardiopulmonary bypass because lung perfusion is maintained solely by the bronchial arterial system
The study will be performed in the pediatric cardiothoracic unit, pediatric Assiut University Hospital. After obtaining approval from the local ethics committee and written informed parents consent 60 patients will be included in this study according to the following criteria:
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group A | Active Comparator | This group will include patients with low flow of mixed oxygen / air (1:1L) during the period of cardiopulmonary bypass |
|
| Group B | Active Comparator | This group will receive low rate (4\min) with low tidal volume ( 2ml/kg ) during the period of cardiopulmonary bypass. |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| cardiopulmonary bypass | Procedure | Low flow of mixed oxygen / air (1:1L) will be used during the period of cardiopulmonary bypass |
|
| Measure | Description | Time Frame |
|---|---|---|
| Change from Baseline Computerized tomography chest (CT chest) within 7 days postoperative | preoperative and within the first 7 days postoperative |
| Measure | Description | Time Frame |
|---|---|---|
| Mechanical ventilation | Duration of mechanical ventilation (hours) | Within the first 7 days postoperative |
| Intensive care unit stay | Intensive care unit stay |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Sayed Abd-Elshafy, M.D | Associate profossor of Anesthesiology and critical care | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Medicine | Asyut | Egypt |
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| ID | Term |
|---|---|
| D055371 | Acute Lung Injury |
| ID | Term |
|---|---|
| D055370 | Lung Injury |
| D008171 | Lung Diseases |
| D012140 | Respiratory Tract Diseases |
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| ID | Term |
|---|---|
| D002315 | Cardiopulmonary Bypass |
| D035061 | Control Groups |
| ID | Term |
|---|---|
| D005112 | Extracorporeal Circulation |
| D013514 | Surgical Procedures, Operative |
| D015340 | Epidemiologic Research Design |
| D004812 | Epidemiologic Methods |
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| cardiopulmonary bypass | Procedure | Low rate (4\min) with low tidal volume ( 2ml/kg ) will be used during the period of cardiopulmonary bypass. |
|
|
| Within the first 7 days postoperative |
| Intubation time | Intubation time (hours) | Within the first 7 days postoperative |
| Arterial blood gases | Intraoperative and postoperative by appropriate scale | Within the first 7 days postoperative |
| D008919 | Investigative Techniques |
| D012107 | Research Design |
| D008722 | Methods |