<abstract xmlns="http://www.w3.org/1999/xhtml"><sec id="j_JoU.2022.0002_s_006"><h3>Introduction</h3><p>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.</p></sec><sec id="j_JoU.2022.0002_s_007"><h3>Aim</h3><p>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.</p></sec><sec id="j_JoU.2022.0002_s_008"><h3>Methodology</h3><p>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.</p></sec><sec id="j_JoU.2022.0002_s_009"><h3>Results</h3><p>In the recruitment group, the postoperative hospitalization was statistically significantly shorter (<italic>p</italic> = 0.003) and the risk of intensive care treatment significantly lower. Additionally, the need for prolonged postoperative mechanical ventilation was reduced, as was the risk of respiratory tract infections.</p></sec><sec id="j_JoU.2022.0002_s_010"><h3>Conclusions</h3><p>Intraoperative ultrasound-guided recruitment maneuvers reduce the frequency of postoperative pulmonary complications.</p></sec></abstract>

IntroductionPostoperative 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.AimThe 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.MethodologyThe 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.ResultsIn the recruitment group, the postoperative hospitalization was statistically significantly shorter (p = 0.003) and the risk of intensive care treatment significantly lower. Additionally, the need for prolonged postoperative mechanical ventilation was reduced, as was the risk of respiratory tract infections.ConclusionsIntraoperative ultrasound-guided recruitment maneuvers reduce the frequency of postoperative pulmonary complications.

The impact of ultrasound-guided recruitment maneuvers on the risk of postoperative pulmonary complications in patients undergoing general anesthesia

Journal of Ultrasonography

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IntroductionPostoperative pulmonary complications are among the most frequent problems in perioperative care. The risk of their development depends not only on...

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
general anesthesia, atelectasis, recruitment maneuvers, chest ultrasonography, postoperative pulmonary complications

© 2022 Jolanta Cylwik, Natalia Bud, published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

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

Keywordsgeneral anesthesia, atelectasis, recruitment maneuvers, chest ultrasonography, postoperative pulmonary complications

© 2022 Jolanta Cylwik, Natalia Bud, published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.

Keywords
general anesthesia, atelectasis, recruitment maneuvers, chest ultrasonography, postoperative pulmonary complications