Observing Breathing Machine Settings in Children Having General Anesthesia

AI summary

From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.

The trial is looking for children up to 16 years old who are having general anesthesia and are connected to a breathing machine. It studies how the machine is set and lung problems after surgery.

Age

Up to 16 years

Sex

All sexes can join

Main reasons for not taking part

• Surgery that uses a heart-lung machine (extra-corporal circulation)
• High frequency jet or high frequency oscillatory ventilation
• Sedation without a breathing tube or airway device
• Rigid bronchoscopy where the child keeps breathing on their own
• Procedure shorter than 15 minutes

The registry criteria, word for word

What the trial wants to find out

Postoperative pulmonary complications (PPCs) are common in children undergoing general anesthesia and are associated with prolonged stay in the hospital and high costs. Development of PPCs is associated with ventilator settings in adult patients undergoing general anesthesia. Data on perioperative ventilator settings in children are lacking, leaving the anaesthetist without guidance. Consequently, the current standard of care in perioperative mechanical ventilation in children is expected to be extremely heterogeneous, leading to ventilation with higher levels of energy than necessary. Therefore, it is highly necessary to evaluate the current practice in perioperative ventilation in children and to determine associations with PPCs.

The 5 groups in the trial

• Neonates

  neonates up to 44 weeks postmenstrual age or up to 60 weeks post menstrual age if born premature (GA \<37 weeks) undergoing general anaesthesia with mechanical ventilation. No intervention will be administered.

• Infants

  Infants of 1 month to 1 year old, undergoing general anaesthesia with mechanical ventilation. No intervention will be administered.

• Toddlers

  Toddlers of 1 to 3 years old, undergoing general anaesthesia with mechanical ventilation. No intervention will be administered.

• Preschool

  Children of preschool age 3 to 6 years old, undergoing general anaesthesia with mechanical ventilation. No intervention will be administered.

• School-aged and adolescents

  School aged children and adolescents of 6 to17 years old, undergoing general anaesthesia with mechanical ventilation. No intervention will be administered.