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The investigators evaluate the usefulness of lung ultrasonography in the perioperative period for postoperative outcomes in children undergoing fast track cardiac surgery.
Some appropriate intervention such as recruitment maneuver, chest tube insertion, or diuretics will be applied depending on lung ultrasound findings.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Control group | No Intervention | No intervention is performed. Lung ultrasonography is performed within 4 hours after surgery for diagnostic purpose. | |
| lung ultrasonography group | Experimental | 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. |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Treatment according to lung ultrasonography | Other | Appropriate treatment for atelectasis, pleural effusion, pulmonary edema, pneumothorax or pneumonia which are confirmed by lung ultrasonography |
| Measure | Description | Time Frame |
|---|---|---|
| Postoperative pulmonary complications | Pleural effusion, atelectasis, diaphragmatic dysfunction, pulmonary infection, embolism, respiratory failure, aspiration, pneumothorax, chylothorax, bronchospasm | Up to postoperative day 5 |
| Measure | Description | Time Frame |
|---|---|---|
| Duration of the use of inotropes | Duration of the use of inotropes | Up to postoperative day 5 |
| Length of intensive care unit stay | Length of intensive care unit stay |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Role | Phone | Extension | |
|---|---|---|---|---|
| Jin-Tae Kim, MD, PhD | Contact | 82-2-2072-3592 | jintae73@gmail.com |
| Name | Affiliation | Role |
|---|---|---|
| Jin-Tae Kim, MD, PhD | Seoul National University Hospital | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Seoul National University Hospital | Recruiting | Seoul | 03080 | South Korea |
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| up to postoperative day 5 |
| Lung ultrasonography findings | Diagnostic lung ultrasonography | until 4 hours after surgery |
| ABGA result | arterial blood gas analysis results | within 4 hours after extubation |
| Duration of oxygen therapy | Up to postoperative day 5 |