Relationship between postoperative lung atelectasis and position of the endotracheal tube in pediatric living-donor liver transplantation

Transplantation Proceedings
H-Y LeeC-J Huang

Abstract

The aims of current study were: 1) to evaluate the incidence of lung atelectasis; and 2) to investigate whether or not the position of the endotracheal (ET) tube is associated with this complication. The medical records and chest roentgenograms of 183 pediatric patients who underwent living-donor liver transplantation were retrospectively reviewed and analyzed. Patients without atelectasis were grouped in group I (GI) and those with atelectasis in group II (GII). The patients' characteristics and ET tube level between groups were compared with unpaired Student's t test. Multiple binary logistic regressions were also performed to identify the important risk factors associated with lung atelectasis. Right upper lung (RUL) atelectsis could be found in ET tube at any level from T1 to T5, with incidence rates of 12.7%, 15.2%, 26.3%, 6.7%, and 100% for T1, T2, T3, T4, and T5, respectively. The incidence of atelectasis is 16.6%, and all of the atelectasis occurred in the RUL. No significant difference between groups was observed in the patients' characteristics, except for the amount of preoperative ascites. The likelihood of this risk factor could not be confirmed by multivariate binary logistic regression analysis. The incidence of ...Continue Reading

References

Jan 1, 1996·Journal of Thoracic Imaging·J H Woodring, J C Reed
Jun 27, 2003·Liver Transplantation : Official Publication of the American Association for the Study of Liver Diseases and the International Liver Transplantation Society·Bruno JawanChao-Long Chen
Nov 25, 2004·Transplantation Proceedings·C-C LinB Jawan
Nov 23, 2006·Transplantation Proceedings·S K HongT Y Ha
Feb 23, 2008·Anesthesia and Analgesia·Athanasios G KaditisJoseph Milic-Emili
Feb 12, 2011·The Journal of International Medical Research·Y H LinQ C Cai

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