Pediatric anesthesia & critical care

Determination of optimal positive end‐expiratory pressure using electrical impedance tomography in infants under general anesthesia: Comparison between supine and prone positions

Paediatr AnaesthPublished Prospective observational study

Authors' conclusion

The prone position required higher positive end-expiratory pressure than the supine position in mechanically ventilated infants under general anesthesia.

Study context

Population
Infants under GA scheduled for surgery in the prone positionanalysed
Participants
30 participants
Exposure
Prone vs supine position
Outcome
Optimal PEEP determined by EIT (decremental trial)
Methodological detailssingle-centre
  • Single-centre

Main finding

As reported in the abstract

EIT-based optimal PEEP

P < 0.001

Observational data: associations, not effects.

Further findings

Electrical impedance tomography (EIT)- vs compliance-based optimal PEEP

Significant differences between EIT- and compliance-based optimal PEEP

Airway pressures (peak, mean, plateau, driving) · up to 1 h after prone positioning

Increased in prone vs supine

Centre of ventilation

Ventral–dorsal ventilation balance improved

Original publication

Determination of optimal positive end‐expiratory pressure using electrical impedance tomography in infants under general anesthesia: Comparison between supine and prone positions. Paediatr Anaesth. Published 1 May 2024. doi:10.1111/pan.14914

Composed by AI from the published abstract and checked against it. How Briefs are made →

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