RecruitingNCT03431064

Lung Recruitment Maneuver as a Potential Predictor of Fluid Responsiveness in Mechanically Ventilated Pediatric Patients


Sponsor

Boston Children's Hospital

Enrollment

48 participants

Start Date

Jun 21, 2018

Study Type

OBSERVATIONAL

Conditions

Summary

In this research study we want to learn more about using non-invasive tools as a way to predict whether or not a child under general anesthesia will require and respond to fluid administration. It is important for an anesthesiologist to know if a child would respond to fluid administration so that they can provide the optimal intervention for low blood pressure and avoid unnecessary treatment.


Eligibility

Max Age: 17 Years

Inclusion Criteria4

  • to \< 18 years old
  • Undergoing surgery at Boston Children's Hospital under general anesthesia
  • mechanically ventilated with an endotracheal tube
  • Monitored with an indwelling radial arterial catheter as part of the anesthetic plan for the scheduled surgical procedure

Exclusion Criteria13

  • Prematurity
  • Low birth weight
  • Congenital heart disease
  • Left or right ventricular dysfunction
  • Cardiac arrhythmia
  • Pulmonary hypertension
  • Preoperative parenchymal or interstitial lung disease
  • Intracranial hypertension
  • Poor transthoracic acoustic window
  • Obesity
  • Allergy to ultrasound transmission gel
  • Need for single lung ventilation
  • Systemic hypertension on antihypertensive medications

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Interventions

OTHERLung Recruitment Maneuver

Lung Recruitment Maneuver by Anesthesiologist

OTHERFluid Administration

Administration of IV Fluid by Anesthesiologist


Locations(1)

Boston Children's Hospital

Boston, Massachusetts, United States

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NCT03431064


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