Lung ultrasound and atelectasis-The devil is in the details

Adam C Adler^{1

2}, Britta S von Ungern-Sternberg^{3

4

5}, Clyde T Matava^{6

7}

Affiliations

¹ Department of Anesthesiology, Perioperative and Pain Medicine, Texas Children's Hospital, Houston, TX, USA.
² Baylor College of Medicine, Houston, TX, USA.
³ Division of Emergency Medicine, Anaesthesia and Pain Medicine, Medical School, The University of Western Australia, Perth, WA, Australia.
⁴ Department of Anaesthesia and Pain Management, Perth Children's Hospital, Perth, WA, Australia.
⁵ Perioperative Medicine Team, Telethon Kid's Institute, Perth, WA, Australia.
⁶ Department of Anesthesia and Pain Medicine, The Hospital for Sick Children, Toronto, ON, Canada.
⁷ Department of Anesthesiology and Pain Medicine, Temerty Faculty of Medicine, University of Toronto, ON, Canada.

Editorial

Adam C Adler et al. Paediatr Anaesth. 2021 Dec.

. 2021 Dec;31(12):1269-1270.

doi: 10.1111/pan.14286.

Adam C Adler^{1

2}, Britta S von Ungern-Sternberg^{3

4

5}, Clyde T Matava^{6

7}

¹ Department of Anesthesiology, Perioperative and Pain Medicine, Texas Children's Hospital, Houston, TX, USA.
² Baylor College of Medicine, Houston, TX, USA.
³ Division of Emergency Medicine, Anaesthesia and Pain Medicine, Medical School, The University of Western Australia, Perth, WA, Australia.
⁴ Department of Anaesthesia and Pain Management, Perth Children's Hospital, Perth, WA, Australia.
⁵ Perioperative Medicine Team, Telethon Kid's Institute, Perth, WA, Australia.
⁶ Department of Anesthesia and Pain Medicine, The Hospital for Sick Children, Toronto, ON, Canada.
⁷ Department of Anesthesiology and Pain Medicine, Temerty Faculty of Medicine, University of Toronto, ON, Canada.

No abstract available

Keywords: PEEP; Pediatric Anesthesia; atelectasis; hypoxemia; lung recruitment; lung ultrasound.

Comment on

The effect of oxygen concentration on atelectasis formation during induction of general anesthesia in children: A prospective randomized controlled trial.
Kim HI, Min JY, Lee JR, Kwan Woong C, Cho MR, Byon HJ. Kim HI, et al. Paediatr Anaesth. 2021 Dec;31(12):1276-1281. doi: 10.1111/pan.14304. Epub 2021 Oct 11. Paediatr Anaesth. 2021. PMID: 34614266 Clinical Trial.

1. Kim HI, Min JY, Lee JR, Kwan Woong C, Cho MR, Byon HJ. The effect of oxygen concentration on atelectasis formation during induction of general anesthesia in children: A prospective randomized controlled trial. Paediatr Anaesth (2021) Oct 6. doi: 10.1111/pan.14304. Epub ahead of print. PMID: 34614266.
1. Pereira SM, Tucci MR, Morais CCA, et al. Individual positive end-expiratory pressure settings optimize intraoperative mechanical ventilation and reduce postoperative atelectasis. Anesthesiology. 2018;129(6):1070-1081. 10.1097/ALN.0000000000002435
1. von Ungern-Sternberg BS, Regli A, Schibler A, Hammer J, Frei FJ, Erb TO. The impact of positive end-expiratory pressure on functional residual capacity and ventilation homogeneity impairment in anesthetized children exposed to high levels of inspired oxygen. Anesth Analg. 2007;104(6):1364-1368. 10.1213/01.ane.0000261503.29619.9c
1. Song IK, Kim EH, Lee JH, Ro S, Kim HS, Kim JT. Effects of an alveolar recruitment manoeuvre guided by lung ultrasound on anaesthesia-induced atelectasis in infants: a randomised, controlled trial. Anaesthesia. 2017;72(2):214-222. 10.1111/anae.13713
1. Song IK, Kim EH, Lee JH, Kang P, Kim HS, Kim JT. Utility of perioperative lung ultrasound in pediatric cardiac surgery: a randomized controlled trial. Anesthesiology. 2018;128(4):718-727. 10.1097/ALN.0000000000002069