| Autor: |
Padhi, Debashisa, Subhadarshini, Swatee Shatarupa, Thatei, Chitta Ranjan, Pattnaik, Manoj Kumar |
| Předmět: |
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| Zdroj: |
Journal of Cardiovascular Disease Research (Journal of Cardiovascular Disease Research); 2024, Vol. 15 Issue 2, p213-221, 9p |
| Abstrakt: |
A reliable approach to diagnosing pulmonary atelectasis is the use of lung ultrasonography. This research was conducted to identify the most effective location for monitoring atelectasis changes in children with general anaesthesia to treat congenital heart disease. Methodology: Prospective study: Place This is the CTVS Department of SCB Medical College in Cuttack. Subjects: Children who are having elective general anaesthesia for treatments linked to congenital cardiac conditions between the ages of three months and three years. A course of action: A control group that received standard treatment and a group that was randomly allocated to receive 4 cm H2O positive end-expiratory pressure were both given to thirty children who were diagnosed with congenital heart disease. Sonography of the lungs was performed on each patient twice during the first and second rounds of mechanical breathing before the surgical procedure. A comparison was made between the two examinations in terms of the atelectatic regions and Blines. Bland-Altman plots were used to evaluate the different ultrasound locations. The infernoposterior (Scans 4-6) areas of the lungs were demonstrated to have a greater incidence of atelectasis in contrast to the anterior and lateral (Scans 1-3) regions. The group receiving positive endexpiratory pressure had lower values (7.6-8.7) (p < 0.05) on lung ultrasonography, while the therapy group had higher median (interquartile range) scores (7.6-16.6). The control group's values were higher when compared. The atelectatic region significantly decreased in the group treated with positive end-expiratory pressure. The atelectatic area fell from 126 mm2 (33.5-214.4 mm2) to 48.4 mm2 (4.9-73.2 mm2), with a p-value of less than 0.05. Following the Bland-Altman plots, the measures obtained from Scans 1-6 and 4-6 agreed. The group exposed to positive endexpiratory pressure had significantly more significant alterations in the atelectatic area in the posterior axillary line areas compared to the group not exposed to this pressure (p = 0.02, 0.003 and 0.02, respectively). Conclusion: Although it may not entirely eradicate the problem, a positive end-expiratory pressure of 4 cm H2O may help reaerate the lungs and alleviate the severity of atelectasis in infants with congenital heart disease. To reduce time during the examination, a lung ultrasound may be done instead of a CT scan of the lower and upper lungs, which may reveal additional signs of atelectasis. [ABSTRACT FROM AUTHOR] |
| Databáze: |
Complementary Index |
| Externí odkaz: |
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