Author:
Cai Weiwei,Gu Wei,Ni Huanhuan,Zhao Longde,Zhong Shan,Wang Wei
Abstract
Abstract
Background
To compare the effects of laryngeal mask mechanical ventilation and preserved spontaneous breathing on postoperative atelectasis in children undergoing day surgery.
Methods
Children aged 3–7 who underwent elective day surgery were randomly divided into a spontaneous breathing group (n = 23) and a mechanical ventilation group (n = 23). All children enrolled in this trial used the same anesthesia induction protocol, the incidence and severity of atelectasis before induction and after operation were collected. In addition, the baseline data, intraoperative vital signs, ventilator parameters and whether there were complications such as reflux and aspiration were also collected. SPSS was used to calculate whether there was a statistical difference between these indicators.
Results
The incidence of atelectasis in the spontaneous breathing group was 91.30%, and 39.13% in the mechanical ventilation group, and the difference was statistically significant (P = 0.001). There was a statistically significant difference in carbon dioxide (P < 0.05), and the severity of postoperative atelectasis in the mechanical ventilation group was lower than that in the spontaneous breathing group (P < 0.05). In addition, there were no significant differences in the vital signs and baseline data of the patients (P > 0.05).
Conclusion
Laryngeal mask mechanical ventilation can reduce the incidence and severity of postoperative atelectasis in children undergoing day surgery, and we didn’t encounter any complications such as reflux and aspiration in children during the perioperative period, so mechanical ventilation was recommended to be used for airway management.
Trial registration
The clinical trial was registered retrospectively at the Chinese Clinical Trial Registry. (https://www.chictr.org.cn. Registration number ChiCTR2300071396, Weiwei Cai, 15 May 2023).
Publisher
Springer Science and Business Media LLC
Subject
Anesthesiology and Pain Medicine
Reference25 articles.
1. Lutterbey G, Wattjes MP, Doerr D, Fischer NJ, Gieseke J Jr, Schild HH. Atelectasis in children undergoing either propofol infusion or positive pressure ventilation anesthesia for magnetic resonance imaging. Paediatr Anaesth. 2007;17:121–5.
2. van Kaam AH, Lachmann RA, Herting E, et al. Reducing atelectasis attenuates bacterial growth and translocation in experimental pneumonia. Am J Respir Crit Care Med. 2004;169:1046–53.
3. Liu G-L, Zhang J-M, Zheng T-H, et al. The use of laryngeal mask in short neonatal surgery. J Clin Anaesth. 2014;30(1):2.
4. Wu ZY, Cha BJ, Wang YS, et al. Effectiveness of nasopharyngeal airway-mask autonomic breathing with propofol-fentanyl-sevoflurane combined with sedation for general anesthesia in pediatric short and minor surgery: comparison with laryngeal mask autonomic breathing. Chin J Anesthesiol. 2013;33(2):4.
5. Zhou RL, Hang YN. Clinical application of third-generation laryngeal mask [J]. J Clin Anaesth. 2006;22(11):3.
Cited by
1 articles.
订阅此论文施引文献
订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献