دورية أكاديمية
Effect of ultrasound-guided transversus abdominis plane block in reducing atelectasis after laparoscopic surgery in children: A randomized clinical trial
العنوان: | Effect of ultrasound-guided transversus abdominis plane block in reducing atelectasis after laparoscopic surgery in children: A randomized clinical trial |
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المؤلفون: | Siyuan Li, Yan Wang, Yunqian Zhang, Hui Zhang, Shenghua Wang, Ke Ma, Lai Jiang, Yanfei Mao |
المصدر: | Heliyon, Vol 10, Iss 4, Pp e26594- (2024) |
بيانات النشر: | Elsevier, 2024. |
سنة النشر: | 2024 |
المجموعة: | LCC:Science (General) LCC:Social sciences (General) |
مصطلحات موضوعية: | Ultrasonography, Nerve block, Pulmonary atelectasis, Postoperative pain, Children, Science (General), Q1-390, Social sciences (General), H1-99 |
الوصف: | Background: Atelectasis is a commonly observed postoperative complication of general anesthesia in children. Pulmonary protective ventilation strategies have been reported to have a beneficial effect on postoperative atelectasis in children. Therefore, the present study aimed to evaluate the efficacy of the ultrasound-guided transversus abdominis plane (TAP) block technique in preventing the incidence of postoperative atelectasis in children. Materials and methods: This study enrolled 100 consecutive children undergoing elective laparoscopic bilateral hernia repair and randomly divided them into the control and TAP groups. Conventional lung-protective ventilation was initiated in both groups after the induction of general anesthesia. The children in the TAP group received an ultrasound-guided TAP block with 0.3 mL/kg of 0.5% ropivacaine after the induction of anesthesia. Results: Anesthesia-induced atelectasis was observed in 24% and 84% of patients in the TAP (n = 50) and control (n = 50) groups, respectively, before discharge from the post-anesthetic care unit (T3; PACU) (odds ratio [OR], 0.062; 95% confidence interval [CI], 0.019–0.179; P |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 2405-8440 |
العلاقة: | http://www.sciencedirect.com/science/article/pii/S2405844024026252Test; https://doaj.org/toc/2405-8440Test |
DOI: | 10.1016/j.heliyon.2024.e26594 |
الوصول الحر: | https://doaj.org/article/bc35bfe3d32b4f4ebc41901d981a31adTest |
رقم الانضمام: | edsdoj.bc35bfe3d32b4f4ebc41901d981a31ad |
قاعدة البيانات: | Directory of Open Access Journals |
تدمد: | 24058440 |
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DOI: | 10.1016/j.heliyon.2024.e26594 |