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Invesetigators evaluated the effect of positive end-expiratory pressure during anaesthesia induction on nonhypoxic apnoea time in infants. Invesetigators assigned infants to a 7 cmH2O positive end expiratory pressure (PEEP) with fraction of inspired oxygen 80% or 0 cmH2O PEEP with fraction of oxygen 80% group. Anaesthesia was induced with 0.02 mg kg atropine, 5 mg kg thiopental sodium and 3 to 5% sevoflurane, and neuromuscular blockade with 0.6 mg kg rocuronium. Thereafter, 80% oxygen was provided via face mask with volume-controlled ventilation of 6 ml kg tidal volume, and either 7 cmH2O or no positive end-expiratory pressure. After 3 min of ventilation, the infants' trachea was intubated but disconnected from the breathing circuit, and ventilation resumed when pulse oximetry reached 95%.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| fraction of inspired oxygen 80% | Active Comparator |
| |
| Fraction of inspired oxygen 80% with positive end expiratory pressure | Experimental |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| positive end expiratory pressure | Other | 7cmH2O of positive end expiratory pressure with fraction of inspired oxygen 80% applied during induction of anesthesia |
|
| Measure | Description | Time Frame |
|---|---|---|
| apnea time | The primary outcome was nonhypoxic apnoea time defined as the time from cessation of ventilation to a pulse oximeter reading of 95% | during face mask ventilation, maximum 3 minutes. |
| Measure | Description | Time Frame |
|---|---|---|
| atelectasis score (0~72) | atelectasis score assessed by lung ultrasound (0-72) | during anesthesia induction, maximum 5 minutes. |
| Number of participants with gastric air insufflation | presence of air in the gastric antrum |
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Inclusion Criteria:
Exclusion Criteria:
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Hee-Soo Kim | Seoul | Soul-t'ukpyolsi | 03080 | South Korea |
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| ID | Term |
|---|---|
| D001049 | Apnea |
| ID | Term |
|---|---|
| D012120 | Respiration Disorders |
| D012140 | Respiratory Tract Diseases |
| D012818 | Signs and Symptoms, Respiratory |
| D012816 | Signs and Symptoms |
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| ID | Term |
|---|---|
| D011175 | Positive-Pressure Respiration |
| ID | Term |
|---|---|
| D012121 | Respiration, Artificial |
| D058109 | Airway Management |
| D013812 | Therapeutics |
| D012138 | Respiratory Therapy |
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| fraction of inspired oxygen 80% | Other | fraction of inspired oxygen 80% applied during induction of anesthesia |
|
| during anesthesia induction, maximum 5 minutes. |
| D013568 | Pathological Conditions, Signs and Symptoms |