Comparison of Hemodynamic Consequences of Hand Ventilation Versus Machine Ventilation for Transportation of Post?Operative Pediatric Cardiac Patients

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dc.contributor.authorChauhan, Ankiten_US
dc.contributor.authorRajesh, Venuthurupalli S. Pen_US
dc.contributor.authorPujara, Jigishaen_US
dc.contributor.authorSingh, Guriqbalen_US
dc.contributor.authorPatel, Praveenen_US
dc.contributor.authorPatel, Kaushalen_US
dc.contributor.authorPandya, Himanien_US
dc.date.accessioned2023-07-14T08:01:17Z
dc.date.available2023-07-14T08:01:17Z
dc.date.issued2023-06
dc.description.abstractLearning Objective: Hemodynamic monitoring during in?hospital transport of intubated patients is vital; however, no prospective randomized trials have evaluated the hemodynamic consequences of hand versus machine ventilation during transport among pediatric patients� post?cardiac surgery. The authors hypothesized that manual ventilation after pediatric cardiac surgery would alter hemodynamic and arterial blood gas (ABG) parameters during transport compared to mechanical ventilation. Design: A prospective randomized trial. Setting: Tertiary cardiac care hospital. Participants: Pediatric cardiac surgery patients. Materials and Methods: One hundred intubated pediatric patients were randomized to hand or machine ventilation immediately post?cardiac surgery during transport from the operating room to the pediatric post?operative intensive care unit (PICU). Hemodynamic variables, including end?tidal CO2 (ETCO2 ), oxygen saturation, heart rate, systolic blood pressure (SBP), diastolic blood pressure (DBP), peak airway pressure (Ppeak), and mean airway pressure (Pmean), were measured at origin, during transport, and at the destination. ABG was measured before and upon arrival in the PICU, and adverse events were recorded. The Chi?square test and independent t?test were used for comparison of categorical and continuous parameters, respectively. Results and Discussion: The mean transport time was comparable between hand?ventilated (5.77 � 1.46 min) and machine?ventilated (5.96 � 1.19 min) groups (P = 0.47). ETCO2 consistently dropped during transport and after shifting in the hand?ventilated group, with significantly higher ETCO2 excursion than in machine?ventilated patients (P < 0.05). SBP and DBP significantly decreased during transport (at 5 and 6 min intervals) and after shifting in hand?ventilated patients than in the other group (P < 0.05). Additionally, after shifting, a significant increase in Ppeak (P < 0.001), Pmean (P < 0.001), and pH (P < 0.001), and a decrease in pCO2 (P = 0.0072) was observed in hand?ventilated patients than machine?ventilated patients. No adverse event was noted during either mode of ventilation. Conclusion: Hand ventilation leads to more significant variation in ABG and hemodynamic parameters than machine ventilation in pediatric patients during transport post?cardiac surgery. Therefore, using a mechanical ventilator is the preferred method for transporting post?operative pediatric cardiac patientsen_US
dc.identifier.affiliationsDepartments of Cardiac Anesthesia anden_US
dc.identifier.affiliationsResearch, U.N. Mehta Institute of Cardiology and Research Center, Ahmedabad, Gujarat, Indiaen_US
dc.identifier.citationChauhan Ankit, Rajesh Venuthurupalli S. P, Pujara Jigisha, Singh Guriqbal, Patel Praveen, Patel Kaushal, Pandya Himani. Comparison of Hemodynamic Consequences of Hand Ventilation Versus Machine Ventilation for Transportation of Post?Operative Pediatric Cardiac Patients. International Journal of Medical Research & Health Sciences. 2023 Jun; 26(2): 166-170en_US
dc.identifier.issn0974-5181
dc.identifier.issn0971-9784
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/219290
dc.languageenen_US
dc.publisherWolters Kluwer - Medknowen_US
dc.relation.issuenumber2en_US
dc.relation.volume26en_US
dc.source.urihttps://doi.org/10.4103/aca.aca_54_22en_US
dc.subjectEnd?tidal CO2en_US
dc.subjecthand ventilationen_US
dc.subjectmachine ventilationen_US
dc.subjectpediatric patientsen_US
dc.subjecttransportation of patientsen_US
dc.titleComparison of Hemodynamic Consequences of Hand Ventilation Versus Machine Ventilation for Transportation of Post?Operative Pediatric Cardiac Patientsen_US
dc.typeJournal Articleen_US
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