Work

Eficacia y seguridad de las maniobras de reclutamiento pulmonar en población pediátrica sin patología pulmonar

Year: 2025

Type: article

Study designs: Systematic Review, Meta-Analysis

Abstract: Lung recruitment maneuvers are a strategy to counteract derecruitment during mechanical ventilation. The efficacy and safety of these maneuvers on atelectasis in pediatric patients under general anesthesia were evaluated. Randomized clinical trials were identified across 6 databases. Risk of bias was assessed using the RoB 2.0 tool. A meta-analysis was conducted, and the GRADE system was used to assess evidence quality. Six studies were included. Lung recruitment maneuvers reduced the incidence of atelectasis (RR = 0.26; 95% CI 0.17 to 0.39; p < 0.0001) and improved lung compliance compared to placebo (MD -3.68; 95% CI -4.52 to -2.83; p < 0.0001). There was no statistically significant difference in oxygen saturation between groups. Lung recruitment maneuvers decrease the occurrence of atelectasis and improve lung compliance in healthy children undergoing general anesthesia.

Source: Revista Chilena de Anestesia

DOI: 10.25237/revchilanestv54n5-25

Authors: María Camila Montoya R., Guillermo Madrid, Leopoldo Ferrer

Institution: Fundación Santa Fe de Bogotá

Language: English

Topic: Respiratory Support and Mechanisms

Subfield: Pulmonary and Respiratory Medicine

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: diamond

OpenAlex ID: W4414581072