Effectiveness of postural lung recruitment on postoperative
Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...Now open: Certificate Course in Management of Covid-19 by Govt. Of Gujarat and PlexusMDKnow more...
A Study was conducted to assess the effects of postural lung recruitment manoeuvres on the postoperative atelectasis assessed by lung ultrasound (LUS) compared to supine position recruitment manoeuvres in children undergoing right lateral thoracotomy cardiac surgery with cardiopulmonary bypass.

Analysis included 84 patients aged 3 years or younger, scheduled for right lateral thoracotomy cardiac surgery with cardiopulmonary bypass (CPB) who were randomly allocated to postural lung recruitment group or control group. The first lung ultrasound exam was performed immediately upon completion of the cardiac surgery (T1), and a repeat ultrasound exam started 1 min after lung recruitment manoeuvres (T2). The primary outcome was the incidence of significant atelectasis at T2.

Results:
--The incidence of significant atelectasis at T2 in the postural lung recruitment manoeuvre group was lower compared with that in the control group (30.2% vs. 58.1%; odds ratio (OR): 0.31).

--The lung ultrasound scores for consolidations and B-lines of the left lung were higher than those of the right lung in both groups at T1.

--More significant reduction of the left lung ultrasound scores and sizes of atelectatic areas were found in the postural lung recruitment group than those in the control group.

Conclusively, postoperative postural recruitment manoeuvre was more effective to improve reaeration of lung than supine position recruitment manoeuvre in children undergoing right lateral thoracotomy cardiac surgery with CPB.

Source: https://onlinelibrary.wiley.com/doi/abs/10.1002/ppul.25315?af=R
Like
Comment
Share