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Background: Prone position ventilation is a widely used lung protection ventilation strategy. The strategy is more convenient to implement in children compared to adults. Due to the precise mechanism of improving oxygenation function, development of pediatric prone ventilation technology has been largely focused on children with acute respiratory distress syndrome. There is a paucity of high-quality studies investigating the effects of prone position ventilation after pediatric cardiac surgery. The purpose of this study is to evaluate the feasibility and effectiveness of prone position ventilation in infants who develop postoperative acute lung injury after surgery for congenital heart disease.Methods: A single-center, randomized controlled trial of pediatric patients with acute lung injury after surgery for congenital heart disease who will receive prone position ventilation or usual care (control group). A total of 68 children will be enrolled according to the inclusion criteria. The main outcome measures will be lung compliance and oxygenation index. The secondary outcomes will be duration of mechanical ventilation, length of stay in cardiac intensive care unit, reintubation rate, and complication rate.Discussion: This study will investigate the feasibility and effectiveness of prone position ventilation techniques in children who develop postoperative acute lung injury after surgery for congenital heart disease. The results may help inform strategies to improve airway management after surgery for congenital heart disease.Trial Registration: ClinicalTrials.gov NCT04607993 . Initially registered on 29 October 2020. [ABSTRACT FROM AUTHOR]

The phase transition behaviors of the shocked water are investigated by employing an optical transmittance in-situ detection system. Based on the light scattering theory and phase transformation kinetics, the phase transition mechanism of the water under multiple shocks is discussed. The experimental data indicate that the evolution of the transmittance of the shocked water can be broadly divided into three stages: relaxation stage, decline stage, and recovery stage. In the early stage of the phase transition, the new phase particles began to form around the quartz/window interface. It should be mentioned that the water/ice phase boundary seems to move toward the liquid region in one experiment of this work. Due to the new phase core being much smaller than the wavelength of the incident light, the transmittance of the sample within the relaxation stage remains steady. The decline stage can be divided into the rapid descent stage and the slow descent stage in this work, which is considered as the different growth rates of the new phase particle under different shock loadings. The recovery stage is attributed to the emergence of the new phase particles which are bigger than the critical value. However, the influence of the size growth and the population growth of the new phase particles on the transmittance restrict each other, which may be responsible for the phenomenon that the transmittance curve does not return to the initial level. [ABSTRACT FROM AUTHOR]