Why the study?
Recruitment maneuvers as part of lung-protective ventilation may improve lung mechanics and oxygenation, but definitive guidelines for their intraoperative application have not been established.
Does individualized stepwise lung recruitment maneuver reduce postoperative pulmonary complications in patients undergoing non-laparoscopic upper abdominal surgeries under general anesthesia?
Comparison
Stepwise recruitment maneuvers and individualized PEEP titration vs PEEP of 5 cmH2O without recruitment maneuvers
Design
Prospective, single-blinded, randomized clinical trial
Key result
Individualized stepwise lung recruitment maneuvers significantly decreased the incidence of postoperative pulmonary complications compared to control (P=0.03).
Authors
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Supports individualized recruitment with lung-protective ventilation in upper abdominal surgery; extends evidence to non-laparoscopic procedures.
RCT (n=66)
Single-blind
Does individualized stepwise lung recruitment maneuver reduce postoperative pulmonary complications in patients undergoing non-laparoscopic upper abdominal surgeries under general anesthesia?
p-value: p=0.03
Individualized stepwise lung recruitment maneuvers added to lung protective ventilation significantly decrease postoperative pulmonary complications in patients undergoing non-laparoscopic upper abdominal surgeries.
Salama et al. (2023) conducted an RCT in Non-laparoscopic upper abdominal surgeries under general anesthesia (n=66). Individualized stepwise lung recruitment maneuvers (RM) and PEEP titration vs. Tidal volume of 8 ml/kg PBW and PEEP of 5 cmH2O without RM was evaluated on Postoperative pulmonary complications (POPCs) (p=0.03). Individualized stepwise lung recruitment maneuvers significantly decreased the incidence of postoperative pulmonary complications compared to control (P=0.03).
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