Quality of Perioperative Invasive Ventilation in PICU

Electrical Impedance Tomography (EIT) in Assessing the Quality of Perioperative Invasive Ventilation in PICU

This is purely observational study in which quality of invasive ventilation is observed with electrical impedance tomography (EIT) during perioperative intensive care. EIT parameters will be used to assess if protective ventilation strategies are successfully followed during routine care.

20 neonates and infants undergoing elective surgery and requiring postoperative treatment and follow up in PICU or in pediatric anestesiology clinic, will be included in this prospective observational study. Swisstom BB2-monitor and NeoSensorBelts will be used to monitor their ventilatory care from arrival to the operation room (prior intubation) to postoperative intensive care (until 2 hours after extubation). EIT parameters assessing lung aeration and ventilation distribution will be used to assess the quality of invasive ventilation.

Inclusion Criteria:

• Written informed consent from a parent of legal guardian
• Infant undergoing elective or semi-elective surgery
• Postoperative admission to PICU expected
• Spontaneous breathing prior to study inclusion

Exclusion Criteria:

• Need for respiratory support prior to surgery
• Thoracic surgery
• Body weight < 1500g or > 10 kg