Overview
The goal of this clinical trial is to learn more about intestinal regional oxygen saturation measurements made with near-infrared spectroscopy and bladder pressure measurements in infants without risk of intraabdominal hypertension. The main question it aims to answer is if - in comparison to bladder pressure - the regional intestinal oxygen saturation measured with near-infrared spectroscopy is stable in the muscle-relaxed, intubated patients and the awake and non-sedated patient.
In case of participation the bladder pressure and the regional intestinal oxygen saturation (measured with near-infrared spectroscopy) will each be measured once intraoperatively and once postoperatively. Patients included in this study will be undergoing an operation which necessitates muscle-relaxation, as well as an indwelling urinary catheter during the operation and for a short-time thereafter for other reasons than this study.
Eligibility
Inclusion Criteria:
- Prepped and consented for laparoscopic pyeloplasty or minimal PSARP with perineal or vestibular fistula or lateral thoracotomy for the correction of esophageal atresia
- Age of 12 months old or less at operation
- Legal custodian gives consent
Exclusion Criteria:
- Anterior abdominal wall thickness greater than 12 mm measured on preoperative MRI imaging if available
- Patients planned for additional intestinal surgeries or non-standard pyeloplasty, e.g. pyeloplasty with nephrostoma
- Patients planned for laparoscopic pyeloplasty whose intraoperative urine sample shows pathological results
- Patients with esophageal atresia who experience pulmonary decompensation and need urgent surgery for fistula clipping