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Comparison of Dynamic Compliance and Airway Resistance in Pressure-Controlled Versus Volume-Controlled Ventilation in Children Undergoing Corrective Heart Surgery
Sponsor: Nilratan Sircar Medical College
Summary
The goal of this clinical trial was to compare two settings on a breathing machine used during heart surgery in children. The children in this study were born with a hole inside the heart. The hole lets extra blood flow to the lungs. Over time this can make the lungs stiffer and harder to inflate. All the children had surgery to close the hole, using a heart-lung machine. During surgery, a machine breathes for the child. It can be set in two ways. One way controls the pressure of each breath. The other way controls the amount of air in each breath. The main questions it aimed to answer were: Which setting kept the lungs easier to inflate during and after surgery? Which setting made it easier for air to move through the breathing tubes? Researchers compared children who got pressure-controlled ventilation with children who got volume-controlled ventilation, to see if lung function differed between the two groups. Participants: Had surgery to close the hole in the heart Got one of the two breathing machine settings, chosen at random Had lung measurements taken at eight points, from just after the breathing tube was placed until they were ready to come off the machine.
Official title: Comparison of Dynamic Compliance and Airway Resistance in Pressure Versus Volume Controlled Ventilation Among Pediatric Patients With Left to Right Intra-Cardiac Shunt Undergoing Corrective Surgery
Key Details
Gender
All
Age Range
1 Month - 18 Years
Study Type
INTERVENTIONAL
Enrollment
72
Start Date
2024-07-13
Completion Date
2025-12-31
Last Updated
2026-08-10
Healthy Volunteers
No
Conditions
Interventions
Pressure Controlled Ventilation
Mechanical ventilation with inspiratory pressure titrated to achieve a tidal volume of 6-8 mL/kg, with peak inspiratory pressure kept at or below 30 cm H2O.
Volume Controlled Ventilation
Mechanical ventilation with tidal volume set at 6-8 mL/kg.
Locations (1)
Nil Ratan Sircar Medical College and Hospital
Kolkata, West Bengal, India