Comparison of Tidal Volume Between Pediatric Anaesthesia and Paediatric Intensive Care Patients (TIVAC)

Brno University Hospital

Status: Enrolling

Conditions: Protective Ventilation

Treatments: Other: Data from intensive care records for ventilation setting screening; Other: Data from anaesthesia records for ventilation setting screening

Study type: Observational

Funder types: Other

Identifiers

NCT03877354

KDAR FN Brno 2019/3

Details and patient eligibility

About

Paediatric anaesthesiology and paediatric intensive care unit data will be retrospectively screened for the data regarding mechanical ventilation. The primary aim will be the tidal volume setting and the secondary the level of positive end-expiration pressure (PEEP) according to the inspired oxygen fraction (FIO2), and the level of driving pressure.

Full description

Protective positive pressure ventilation (tidal volume ≤6 mL/kg) in adult patients in intensive care is currently considered as a standard procedure. It is associated with a reduction of morbidity and positive outcome. In paediatric patients there are available only limited information related to the size of the tidal volume and it is recommended to use the volume between 5 and 8 mL per kg for the whole spectrum of ages of pediatric patients. The aim of this retrospective observational study is to evaluate the tidal volumes used in clinical practice in pediatric patients during general anesthesia and compared it to the tidal volumes used in paediatric critical care. Data will be harvested from the anaesthesiology records and from the paediatric intensive care unit charts. The tidal volume will calculated per kg of actual weight.

Enrollment: 1,000 estimated patients

Sex: All

Ages: Under 19 years old

Volunteers: No Healthy Volunteers

Inclusion criteria

• Paediatric patients on mechanical ventilation in anaesthesia department
• Paediatric patients on mechanical ventilation in intensive care department
• In selected study period between 1.1.2018 - 31.1.2019

Exclusion criteria

• Age outside selected limits
• Insufficient data

Trial design

1,000 participants in 2 patient groups

Paediatric patients anaesthesia

Description:

Paediatric patients who underwent diagnostic or surgical procedure under general anaesthesia with the need for mechanical ventilation in the selected time period.

Treatment:

Other: Data from anaesthesia records for ventilation setting screening

Paediatric patients intensive care

Description:

Paediatric patients admitted to the paediatric intensive care unit with the need for mechanical ventilation in the selected time period

Treatment:

Other: Data from intensive care records for ventilation setting screening