Pediatric anesthesia & critical care
Effect of ultrasound-guided lung recruitment manoeuvre on perioperative atelectasis during laparoscopy in young infants: A randomised controlled trial
Authors' conclusion
Ultrasound-guided alveolar recruitment reduced the perioperative incidence of atelectasis in infants <3 months during laparoscopy under general anaesthesia.
Study context
- Population
- Young infants (<3 months) undergoing GA for laparoscopic surgery (>2 h)60 analysed
- Participants
- 62 infants
- Comparison
- Ultrasound-guided vs conventional lung recruitment once per hour
- Primary endpoint
- Incidence of significant atelectasis (lung ultrasound (LUS) consolidation score ≥ 2 in any region)
- Follow-up
- T3 (1 min after surgery) and T4 (before PACU discharge)
Primary result
As reported in the abstract
Atelectasis at T3 · T3 (1 min after surgery)
P = 0.002
Further findings
Atelectasis before recruitment (T1, 5 min after intubation, before pneumoperitoneum)
P = 0.500
| Outcome | Ultrasound | Control | P value |
|---|---|---|---|
| Atelectasis before recruitment (T2, after pneumoperitoneum) | 76.7% | — not stated in the abstract | P = 0.519 |
— not stated in the abstract
Parts of this Brief are withheld: the automatic checks could not confirm them against the abstract.
Original publication
Effect of ultrasound-guided lung recruitment manoeuvre on perioperative atelectasis during laparoscopy in young infants: A randomised controlled trial. J Clin Anesth. Published 14 February 2023. doi:10.
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