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Effect of different fraction of inspired oxygen on development of atelectasis in mechanically ventilated children: A randomized controlled trial

Paediatric Anaesthesia Nov 08, 2019

Song IK, Jang YE, Lee JH, et al. - Researchers undertook this randomized controlled, patient- and sonographer-blinded trial to investigate how different FIO2 (fraction of inspired oxygen) can influence the development of intraoperative atelectasis in mechanically ventilated children using lung ultrasound. Assignment of 86 children (≤ 6 years) undergoing noncardiac surgery to a low (n = 43) or high (n = 43) FIO2 group was done. Consistently, 30% air-oxygen mixture during preoxygenation, ultrasound-guided recruitment maneuver, and mechanical ventilation were provided to the low FIO2 group. In the high FIO2 group, 100% oxygen during preoxygenation and ultrasound-guided recruitment maneuver and 60% air-oxygen mixture during mechanical ventilation were received. Both groups had a positive end-expiratory pressure of 5 cm H2O applied. One minute following the commencement of mechanical ventilation and at the termination of surgery, lung ultrasound was performed in both groups. Findings revealed no influence of FIO2 on significant atelectasis formation in mechanically ventilated children who received ultrasound-guided recruitment maneuver and positive end-expiratory pressure.
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