Pediatric anesthesia & critical care

Efficacy of a lung recruitment manoeuvre in children undergoing general anaesthesia with a supraglottic airway

Br J AnaesthPublished Feasibility study

Main finding · Estimated difference in EELVResult — go to the resultMedian difference −0.9 ml kg-1 95% CI −1.6 to −0.1

Authors' conclusion

In children undergoing general anaesthesia with the use of a supraglottic airway, a recruitment manoeuvre effectively restores EELV to baseline.

Study context

Population
Children (ASA physical status 1–2, 10–20 kg) undergoing GA with a supraglottic airway74 datasets analysed
Participants
95 children
Exposure
End-expiratory lung volume (EELV) after recruitment manoeuvre vs baseline
Outcome
Normalised change in end-expiratory lung impedance after recruitment manoeuvre (electrical impedance tomography)
Methodological detailsprospective, equivalence margin ±35% (±2 ml kg-1)
  • Prospective
  • Equivalence margin ±35% (±2 ml kg-1)

Main finding

Estimated difference in EELV

Median difference

−0.9 ml kg-1

95% CI −1.6 to −0.1

After recruitment manoeuvre vs Baseline
median difference −0.9 ml kg-1 (95% CI −1.6 to −0.1)

As reported in the abstract

Observational data: associations, not effects.

Secondary outcomes

No significant changes in global inhomogeneity index
0.0 [0.03-0.04]

Original publication

Efficacy of a lung recruitment manoeuvre in children undergoing general anaesthesia with a supraglottic airway. Br J Anaesth. Published 23 September 2025. doi:10.1016/j.bja.2025.08.016

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