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September 1, 2021Journal of Surgery and MedicineOpen Access

The effect of recruitment maneuver on the development of expansion defect and atelectasis after lobectomy: A double-blind randomized controlled trial

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Authors

KİKadir İdinTürk Anesteziyoloji ve Reanimasyon Derneği

Discussion

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Implication

Randomized double-blind trial demonstrates reduced expansion failure in lobectomy patients, indicating cycling recruitment maneuvers outperform manual techniques.

Key Points

  • To determine whether a standardized cycling recruitment maneuver performed after one-lung ventilation reduces postoperative lung expansion failure and atelectasis compared to a manual recruitment maneuver in lobectomy patients.
  • Prospective, double-blind randomized controlled trial involving 61 elective lobectomy patients managed with one-lung ventilation.
  • Patients were randomized to receive either a standardized cycling recruitment maneuver (cRM, n=30) or a high-volume manual recruitment maneuver using an anesthetic reservoir bag (mRM, n=31) upon transitioning to double-lung ventilation.
  • Preoperative and postoperative respiratory and hemodynamic parameters were recorded, and expansion failure and atelectasis were evaluated using chest radiography and thoracic computerized tomography.
  • Postoperative expansion failure occurred in 23.3% of patients in the cRM group compared to 48.8% in the mRM group (P=0.042), with regression analysis showing a 3.08-fold increased risk in the manual group.
  • Additional post-surgical interventions were required in 13.3% (4/30) of patients in the cRM group versus 35.5% (11/31) in the mRM group.
  • Hospital stay duration was significantly shorter in the cRM group (P=0.045), and no procedural complications were observed in either cohort.

Cite This Study

Kadir İdin (2021) studied this question.

synapsesocial.com/papers/6a94f27e1fe04514d10f32f4https://doi.org/10.28982/josam.1001166
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