ArticleDie Anaesthesiologie2026
Recruitment maneuvers and lung ultrasound-assessed aeration in laparoscopic cholecystectomy : A prospective randomized controlled trial.
Article in Die Anaesthesiologie, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundGeneral anesthesia and CO
methodsIn this single-center, prospective, randomized controlled trial, 80 adults (American Society of Anesthesiologists (ASA) physical status I-III) scheduled for elective laparoscopic cholecystectomy were allocated 1:1 to an RM group (n = 40) or a no RM control group (n = 40). Both groups received tidal volumes of 6-8 mL/kg predicted body weight and positive end-expiratory pressure (PEEP) of 5 cmH2O
resultsBaseline LUS scores were comparable between groups (median [IQR], 5 [4-6] vs. 5 [4-7]; p = 0.840). After pneumoperitoneum and the first RM, the LUS scores were lower in the RM group than in the no RM control group (3 [2-4] vs. 7 [5-8.25]; p < 0.001). The difference persisted immediately after extubation (4 [3-5] vs. 6 [5-7]; p < 0.001) and at PACU assessment (3 [2-4] vs. 6 [4-7.25]; p < 0.001). The group × time interaction was significant (χ
conclusionTwo scheduled RMs were associated with lower perioperative LUS scores through early PACU follow-up without detectable differences in the recorded oxygenation or hemodynamic variables. These findings demonstrate a physiological improvement in regional aeration but do not establish a reduction in postoperative pulmonary complications or other patient-centered outcomes.
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