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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.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Swisstom BB2 EIT device | Device | Swisstom BB2 EIT device and NeoSensor Belts will be used to assess lung aeration, ventilation distribution and strech during invasive ventilation in perioperative care. |
| Measure | Description | Time Frame |
|---|---|---|
| Silent spacies | Amount of silent spaces observed in different phases of treatment in comparison to baseline | 24 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Ventilation distribution | Changes from baseline in ventilation distribution will be assessed in different phases of treatment | 24 hours |
| Effect of interventions on ventilatory parameters | Relationship between intubation/invasive ventilation/extubation/spontaneous breathing and EIT findings |
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Inclusion Criteria:
Exclusion Criteria:
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Neonates and infants undergoing elective/semi-elective surgery
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| Name | Affiliation | Role |
|---|---|---|
| Merja Kallio, MD, PhD | Oulu University Hospital and PEDEGO research group, University of Oulu | Study Director |
| Marika Rahtu | Oulu University Hospital and PEDEGO research group, University of Oulu | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Oulu University Hospital | Oulu | Finland |
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| 24 hours |