Perioperative medicine & outcomes
Effect of ultrasound-guided lung recruitment to reduce pulmonary atelectasis after non-cardiac surgery under general anesthesia: a systematic review and meta-analysis of randomized controlled trials
Pooled resultResult — go to the resultRelative risk 0.31 95% CI 0.25–0.40Authors' conclusion
Ultrasound-guided lung recruitment maneuvers have been shown to be a promising approach for improving perioperative lung ventilation by increasing aeration while mitigating the development of atelectasis.
Study context
- Population
- Perioperative patients undergoing non-cardiac surgery under GA
- Participants
- 443 patients · 9 randomized controlled trials (RCTs)
- Comparison
- Ultrasound-guided lung recruitment maneuvers (LRM) vs non-ultrasound-guided methods
- Outcome
- Incidence of postoperative atelectasis
Pooled result
As reported in the abstract
Relative risk
0.31
95% CI 0.25–0.40
P < 0.05
Ultrasound-guided LRM vs Non-ultrasound-guided
RR 0.31 (95% CI 0.25–0.40); P < 0.05
Further pooled results
| Outcome | WMD (95% CI) | P value |
|---|---|---|
| Lung ultrasound score (LUS) | - 6.24 (- 6.90-5.59) | P < 0.05 |
| LUS, front lung region | - 2.00 (- 2.49 to - 1.51) | P < 0.05 |
| LUS, lateral lung region | - 2.50 (- 3.20 to - 1.80) | P < 0.05 |
| LUS, posterior lung region | - 3.24 (- 4.23 to - 2.24) | P < 0.05 |
Original publication
Effect of ultrasound-guided lung recruitment to reduce pulmonary atelectasis after non-cardiac surgery under general anesthesia: a systematic review and meta-analysis of randomized controlled trials. Perioper Med (Lond). Published 27 March 2024. doi:10.
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