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Lung recruitment prevents collapse during laparoscopy in children: A randomised controlled trial

European Journal of Anaesthesiology Jul 11, 2018

Acosta CM, et al. - In this single-institution study involving 42 children American Society of Anesthesiologists I–II aged 6 months to 7 years undergoing laparoscopy, researchers evaluated the influence of general anaesthesia and capnoperitoneum on lung collapse and the potential preventive impact of lung recruitment manoeuvres, using lung ultrasound (LUS). The main focus was on lung aeration score and atelectasis assessed by ultrasound. They detected the presence of anesthesia-induced atelectasis in the majority of children undergoing laparoscopy. They also observed that recruitment manoeuvres followed by positive-end expiratory pressure could have prevented lung collapse due to capnoperitoneum in most cases.
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