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Effect of different lung recruitment strategies and airway device on oscillatory mechanics in children under general anaesthesia

Atelectasis has been reported in 68 to 100% of children undergoing general anaesthesia, a phenomenon that persists into the recovery period. Children receiving recruitment manoeuvres have less atelectasis and fewer episodes of oxygen desaturation during emergence. The optimal type of recruitment manoeuvre is unclear and may be influenced by the airway device chosen.

Citation:
Zannin E, Nguyen J, Vigevani S, Hauser N, Sommerfield D, Dellacà R, Nazim Khan R, Sommerfield A, Von Ungern-Sternberg BS. Effect of different lung recruitment strategies and airway device on oscillatory mechanics in children under general anaesthesia. Eur J Anaesthesiol. 2024;41(7):513-21.

Keywords:
Airway management; instrumentation; anesthesia; intubation; intratracheal; lung physiology; pulmonary atelectasis; respiratory mechanics; 

Abstract:
Atelectasis has been reported in 68 to 100% of children undergoing general anaesthesia, a phenomenon that persists into the recovery period. Children receiving recruitment manoeuvres have less atelectasis and fewer episodes of oxygen desaturation during emergence. The optimal type of recruitment manoeuvre is unclear and may be influenced by the airway device chosen.