Ultrasound-guided versus conventional lung recruitment manoeuvres in thoracic surgery: a randomised controlled study

J Clin Monit ComputPublished Randomised controlled trial

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

OutcomeUltrasound-guided RMsConventional RMsP value
Lung ultrasound score, bilateral lungs · end of surgery2.0 (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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