Pediatric anesthesia & critical care
Changes in diaphragmatic ultrasonography findings and their association with postoperative complications in children undergoing pulmonary resection: A single-centre, prospective, observational study
Authors' conclusion
The diaphragmatic excursion and thickening fraction decreased postoperatively, and a prolonged decrease in diaphragmatic excursion was associated with pulmonary complications after lung surgery in children.
Study context
- Population
- Children aged ≤6 years scheduled for video-assisted thoracoscopic lung resection, tertiary children's hospitalanalysed
- Participants
- 74 children
- Outcome
- Changes in diaphragmatic excursion (DE) and thickening fraction (TF) on ultrasound over time
- Follow-up
- From before anaesthesia induction (T0) to 24 h postoperatively (T2)
Methodological detailssingle-centre
- Single-centre
Main finding
As reported in the abstract
DE and TF, operated side · 1 h (T1) and 24 h (T2) postoperatively
- Diaphragmatic excursion (DE) and thickening fraction (TF) decreased at T1, recovered slightly at T2, and were significantly lower than T0 values
Observational data: associations, not effects.
Secondary outcomes
Early postoperative pulmonary complications (PPCs) within 3 days vs diaphragm ultrasound parameters, operated side
- DE T2/DE T0 < 61.1% associated with PPCs, AUC (ROC analysis)
- 0.764
- Children with PPCs had significantly lower DE T2/DE T0 and TF T2/TF T0 than those without PPCs
Original publication
Changes in diaphragmatic ultrasonography findings and their association with postoperative complications in children undergoing pulmonary resection: A single-centre, prospective, observational study. Eur J Anaesthesiol. Published 12 October 2023. doi:10.
Composed by AI from the published abstract and checked against it. How Briefs are made →