Perioperative medicine & outcomes

Lung ultrasound for evaluating perioperative atelectasis and aeration in the post-anesthesia care unit

J Clin Monit ComputPublished Prospective observational study

Authors' conclusion

Lung ultrasound enables early postoperative evaluation of atelectasis and lung aeration, which are closely associated with postoperative oxygenation.

Study context

Population
Patients undergoing elective non-cardiothoracic surgery under GA, lung ultrasound in post-anesthesia care unit (PACU)
Participants
93 consecutive patients
Outcome
Atelectasis on lung ultrasound in PACU
Follow-up
5 min after PACU admission
Methodological detailsconsecutive patients
  • Consecutive patients

Main finding

As reported in the abstract

Atelectasis in ≥1 of 12 segments

32

34%

Atelectasis in ≥3 segments

12

13%

Observational data: associations, not effects.

Further findings

Lung ultrasound score ≥ 5 vs < 5

Higher BMI and lower PaO2 before PACU discharge with scores ≥ 5

Atelectasis and patient factors/oxygenation

Patients with atelectasis had higher BMI and lung ultrasound scores
≥ 2 regions of atelectasis associated with lower PaO2

Multivariate analysis

BMI, intraoperative body position and sex independently correlated with lung ultrasound scores
Age and lung ultrasound scores independently correlated with hypoxemia

Original publication

Lung ultrasound for evaluating perioperative atelectasis and aeration in the post-anesthesia care unit. J Clin Monit Comput. Published 24 March 2023. doi:10.1007/s10877-023-00994-7

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