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Evaluation of Perfusion and Ventilation Distribution in Children: a Pilot Study.
Sponsor: Hospices Civils de Lyon
Summary
Electrical impedance tomography (EIT) is a recent monitoring technique that provides information on regional ventilation distribution. Following the injection of a hypertonic saline bolus, EIT can also assess regional pulmonary perfusion distribution, allowing evaluation of the ventilation/perfusion (V/Q) ratio. In adults, protocols for assessing perfusion distribution require the injection of 10 mL of a 7.5% or 10% NaCl solution or sodium bicarbonate over a few seconds. Studies have reported good hemodynamic tolerance, adequate image quality, and no significant changes in serum sodium levels. However, this volume and sodium load are not appropriate for small children. To date, no pediatric protocol exists for assessing pulmonary perfusion distribution and the ventilation/perfusion ratio using EIT. It is therefore proposed to conduct a pilot study to evaluate the feasibility of assessing pulmonary perfusion by EIT using a weight-adjusted bolus of hypertonic saline (NaCl or sodium bicarbonate).
Official title: Feasibility Study of the Evaluation of Perfusion and Ventilation Distribution in Children : a Pilot Study
Key Details
Gender
All
Age Range
Any - 12 Years
Study Type
INTERVENTIONAL
Enrollment
20
Start Date
2026-05-13
Completion Date
2028-08-13
Last Updated
2026-05-19
Healthy Volunteers
No
Conditions
Interventions
Evaluation of perfusion with Electrical impedance tomography using sodium chloride or sodium bicarbonate
All patients will undergo EIT monitoring (Enlight 2100, Timpel, Brazil) using a belt adjusted to the thoracic circumference. Ventilation distribution will be assessed with a tidal volume of 8 mL/kg. Following a breath hold, a saline solution (sodium chloride or sodium bicarbonate) will be injected over a few seconds. Perfusion distribution, as well as impedance signal variation, will be recorded using dedicated software (Timpel, Brazil). Data acquisition will be considered valid if the impedance signal variation induced by the saline solution injection is at least equivalent to the amplitude variation observed during ventilation with a tidal volume of 8 mL/kg. 2 measurements at 4 to 6-hours intervals with volume or concentration adjustment after the first injection if needed in the group 1
Locations (1)
Florent BAUDIN
Bron, France, France