Pediatric anesthesia & critical care
Non‐Intubated Spontaneous Ventilation Versus Endotracheal Intubation Anesthesia for Pediatric Thoracoscopic Lung Resection: A Retrospective Propensity‐Score‐Matched Study
Authors' conclusion
In this retrospective propensity-score-matched pediatric cohort, a laryngeal mask airway-assisted non-intubated spontaneous ventilation anesthesia was feasible and was not associated with worse perioperative outcomes than a conventional endotracheal intubation anesthesia. A lower observed incidence of postoperative pulmonary complications was noted.
Study context
- Population
- Children undergoing thoracoscopic anatomical lung lesion resection for pulmonary sequestration or congenital pulmonary airway malformation, April 2024–May 202550 matched pairs analysed
- Participants
- 198 children
- Exposure
- Non-intubated spontaneous ventilation vs Endotracheal intubation
- Non-intubated spontaneous ventilationn = 50
- Endotracheal intubationn = 50reference
- Outcome
- Overall incidence of PPCs before discharge
- Follow-up
- Before discharge
Methodological detailssingle-centre, propensity-score matched
- Single-centre
- Propensity-score matched
Main finding
As reported in the abstract
Absolute risk reduction
12.0 %
95% CI 3.0–21.0
P = 0.027
Events by group
Observational data: associations, not effects.
Secondary outcomes
| Outcome | aOR (95% CI) | P value | |
|---|---|---|---|
| PPCs, sensitivity analysis (Firth's logistic regression adjusted for thoracic paravertebral block) | 0.06 (0.0004–0.76) | P = 0.029 | |
| 0.050.21520Adjusted odds ratio (log scale) |
| Outcome | Non-intubated spontaneous ventilation |
|---|---|
| Conversion to endotracheal intubation | 0 events |
Other secondary outcomes (lowest SpO2, highest end-tidal CO2, PACU LOS, chest tube time, postoperative hospital LOS)
- Modest between-group differences in unadjusted analyses; Holm-Bonferroni adjusted p values
- 0.060 to 0.208
- Holm-Bonferroni adjustment
Original publication
Composed by AI from the published abstract and checked against it. How Briefs are made →