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The effect of lung recruitment maneuvers on post-operative pulmonary complications for patients undergoing general anesthesia: A meta-analysis

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  • Yu Cui
  • Rong Cao
  • Gen Li
  • Tianqing Gong
  • Yingyu Ou
  • Jing Huang

Abstract

Background: Respiratory function would be impaired during general anesthesia period. Researchers devoted their energies to finding effective strategies for protecting respiratory function. Low tidal volume, positive end-expiratory pressure (PEEP), and lung recruitment maneuvers (LRMs) were recommended for patients under mechanical ventilation. However, based on the current evidence, there was no consensus on whether LRMs should be routinely used for anesthetized patients with healthy lungs, and the benefits of them remained to be determined. Materials and methods: To evaluate the benefits of LRMs on patients undergoing surgery with general anesthesia, we searched relevant studies in PubMed, EMBASE, Ovid Medline and the Cochrane Library up to June 30, 2018. The primary outcome was postoperative pulmonary complications (PPCs). Results: Twelve trials involving 2756 anesthetized patients were included. The results of our study showed a significant benefit of LRMs for reducing the incidence of PPCs (RR = 0.67; 95%CI, 0.49 to 0.90; P

Suggested Citation

  • Yu Cui & Rong Cao & Gen Li & Tianqing Gong & Yingyu Ou & Jing Huang, 2019. "The effect of lung recruitment maneuvers on post-operative pulmonary complications for patients undergoing general anesthesia: A meta-analysis," PLOS ONE, Public Library of Science, vol. 14(5), pages 1-21, May.
    • Handle: RePEc:plo:pone00:0217405
    DOI: 10.1371/journal.pone.0217405
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