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.
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.
Study Type
OBSERVATIONAL
Enrollment
1,000
Data from anaesthesia records will be retrospectively screened for the ventilation settings
Data from paediatric intensive care charts will be retrospectively screened for the ventilation settings
University Hospital Brno
Brno, State, Czechia
RECRUITINGTidal volume
Tidal volume will be evaluated in the paediatric patients in anaesthesia and in intensive care unit
Time frame: Intraoperative period
Positive end-expiratory pressure settings according to the inspiration fraction of oxygen
Positive end-expiratory pressure will be evaluated in the paediatric patients in anaesthesia and in intensive care unit
Time frame: Intraoperative period
Driving pressure
Driving pressure will be calculated from peak pressure minus PEEP in patients on mechanical ventilation in anaesthesia and in intensive care unit
Time frame: Intraoperative period
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