Pediatric anesthesia & critical care
Effect of different lung recruitment strategies and airway device on oscillatory mechanics in children under general anaesthesia
Primary result · Change in reactance after recruitment (corrected for baseline reactance)Result — go to the resultDifference 0.25 cmH 2 OAuthors' conclusion
Although there was no significant difference between airway devices, this study demonstrated more effective recruitment via repeated inflations than sustained inflation in anaesthetised children.
Study context
- Population
- Healthy children aged 2–16 years undergoing GA53 boys
- Participants
- 70 children
- Comparison
- Sustained inflation vs Repeated inflations
- Primary endpoint
- Change in respiratory reactance (forced oscillation technique (FOT), 5 Hz)
Methodological detailspragmatic enrolment, single-centre, 2 airway devices as factor, February 2020 to March 2022
- Pragmatic enrolment
- Single-centre
- 2 airway devices as factor
- February 2020 to March 2022
Primary result
As reported in the abstract
Change in reactance after recruitment (corrected for baseline reactance)
Difference
0.25 cmH 2 O
P = 0.0166
Further findings
Baseline reactance as predictor of change in reactance after recruitment
- Prerecruitment Xrs decrease per 1 cmH 2 O −1 s l −1 increase in baseline Xrs, mean (SE 0.068), cmH 2 O s l −1; P < 0.001
- 0.25
- Strongest predictor
Airway device
- No significant difference between airway devices
Original publication
Effect of different lung recruitment strategies and airway device on oscillatory mechanics in children under general anaesthesia. Eur J Anaesthesiol. Published 21 May 2024. doi:10. 1097/ eja. 0000000000001999
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