The impact of ultrasound-guided recruitment maneuvers on the risk of postoperative pulmonary complications in patients undergoing general anesthesia
Article Category: Research paper
Published Online: Feb 08, 2022
Page range: 6 - 11
Received: Sep 19, 2021
Accepted: Nov 17, 2021
DOI: https://doi.org/10.15557/JoU.2022.0002
Keywords
© 2022 Jolanta Cylwik, Natalia Bud, published by Sciendo
This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
Introduction
Postoperative pulmonary complications are among the most frequent problems in perioperative care. The risk of their development depends not only on the parameters associated with the patient’s initial clinical condition, but also on the employed anesthesia technique, the method of mechanical ventilation, and the type and technique of the surgical procedure. Atelectasis is the most common complication, affecting nearly 90% of the patients undergoing general anesthesia.
Aim
The aim of this study was to determine whether it was possible to positively impact the postoperative period and reduce the frequency of postoperative pulmonary complications via patient-based intraoperative ultrasound-guided recruitment maneuvers.
Methodology
The course of the postoperative period was analyzed in two groups of patients. One of them comprised 100 patients in whom no recruitment maneuvers were performed during general anesthesia. The other group (100 patients) consisted of patients in whom patient-based ultrasound-guided pulmonary recruitment maneuvers were performed.
Results
In the recruitment group, the postoperative hospitalization was statistically significantly shorter (
Conclusions
Intraoperative ultrasound-guided recruitment maneuvers reduce the frequency of postoperative pulmonary complications.