Ultrasound-guided versus conventional lung recruitment manoeuvres in thoracic surgery: a randomised controlled study
Authors' conclusion
Ultrasound-guided RMs is superior to conventional RMs in improving lung aeration and reducing the incidence of lung atelectasis at early postoperative period in patients undergoing VATS.
Study context
- Population
- Patients scheduled for video-assisted thoracoscopic surgery (VATS) under GA with OLV
- Participants
- 60 patients
- Comparison
- Ultrasound-guided vs conventional lung recruitment manoeuvres (RMs)
- Primary endpoint
- Lung ultrasound score
- Follow-up
- Before discharge from the PACU after extubation
Methodological detailsAugust 2022 to September 2022
- August 2022 to September 2022
Primary result
As reported in the abstract
before PACU discharge
- Lower lung ultrasound scores with ultrasound-guided RMs at end of surgery remained before PACU discharge
Further findings
Incidence of atelectasis · end of surgery
P < 0.01
| Outcome | Ultrasound-guided RMs | Conventional RMs | P value |
|---|---|---|---|
| Lung ultrasound score, bilateral lungs · end of surgery | 2.0 (bracketed range as printed 0.8–4.0) | 8.0 (bracketed range as printed 3.8–10.3) | P < 0.01 |
Lung aeration, early postoperative period
- Deteriorated in both groups even after lung RMs
Original publication
Ultrasound-guided versus conventional lung recruitment manoeuvres in thoracic surgery: a randomised controlled study. J Clin Monit Comput. Published 17 February 2024. doi:10. 1007/ s10877-024-01134-5
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