{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T19:46:01Z","timestamp":1791920761258,"version":"4.3.4"},"reference-count":17,"publisher":"Wiley","issue":"10","license":[{"start":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T00:00:00Z","timestamp":1791849600000},"content-version":"vor","delay-in-days":12,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,10,1]],"date-time":"2026-10-01T00:00:00Z","timestamp":1790812800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Nursing Open"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>To evaluate the association between Cdyn\u2010guided PEEP during one\u2010lung ventilation (OLV) and nursing activities in the post\u2010anaesthesia care unit (PACU) among infants undergoing thoracoscopic surgery under general anaesthesia:<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Design<\/jats:title>\n                    <jats:p>Retrospective observational cohort study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      A retrospective analysis was conducted on clinical data from infants with congenital pulmonary airway malformation (CPAM) who underwent thoracoscopic lobectomy at a Children's Hospital Affiliated to Shandong University between January 2022 and February 2025. Patients were classified according to the recorded intraoperative PEEP strategy actually delivered during OLV: Group P was managed with Cdyn\u2010guided individualized PEEP; Group C was managed with fixed PEEP of 5 cmH\n                      <jats:sub>2<\/jats:sub>\n                      O. The primary outcome was PACU Nursing Activities Score (NAS). Baseline clinical characteristics, postoperative outcomes (incidence of delirium, pain scores), PACU observation time, and adverse events were compared between the two groups.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      A total of 93 patients were included. Baseline characteristics were generally balanced, with most standardized mean differences &lt;\u20090.2. After adjustment for prespecified covariates, Cdyn\u2010guided PEEP was associated with a lower NAS score (adjusted mean difference\u2009=\u2009\u22123.75; 95% CI: \u22126.44 to \u22121.07;\n                      <jats:italic>p<\/jats:italic>\n                      \u2009=\u20090.007). Compared with Group C, Group P was also associated with a shorter PACU stay and a lower composite adverse event rate.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Patient or Public Contribution<\/jats:title>\n                    <jats:p>No Patient or Public Contribution.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/nop2.70935","type":"journal-article","created":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T19:00:26Z","timestamp":1791918026000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Association Between Cdyn\u2010Guided\n                    <scp>PEEP<\/scp>\n                    and Nursing Activities During\n                    <scp>PACU<\/scp>\n                    Recovery in Infants Undergoing One\u2010Lung Ventilation: A Retrospective Observational Cohort Study"],"prefix":"10.1002","volume":"13","author":[{"ORCID":"https:\/\/orcid.org\/0009-0002-4504-8449","authenticated-orcid":false,"given":"Mingran","family":"Hao","sequence":"first","affiliation":[{"name":"Department of Infectious Diseases Qilu Hospital of Shandong University  Jinan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2207-8592","authenticated-orcid":false,"given":"Bin","family":"Zhang","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Children's Hospital Affiliated to Shandong University  Jinan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuejiao","family":"Han","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Children's Hospital Affiliated to Shandong University  Jinan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Changbin","family":"Zhao","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Children's Hospital Affiliated to Shandong University  Jinan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Zhaoyuan","family":"Dong","sequence":"additional","affiliation":[{"name":"Department of Infectious Diseases Qilu Hospital of Shandong University  Jinan China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-2405-9582","authenticated-orcid":false,"given":"Benqin","family":"Song","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Children's Hospital Affiliated to Shandong University  Jinan China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,10,13]]},"reference":[{"issue":"9","key":"e_1_2_13_2_1","doi-asserted-by":"crossref","first-page":"846","DOI":"10.1001\/jama.2019.0555","article-title":"Effect of Titrating Positive End\u2010Expiratory Pressure (PEEP) With an Esophageal Pressure\u2010Guided Strategy vs an Empirical High PEEP\u2010Fio2 Strategy on Death and Days Free From Mechanical Ventilation Among Patients With Acute Respiratory Distress Syndrome: A Randomized Clinical Trial","volume":"321","author":"Beitler J. R.","year":"2019","journal-title":"JAMA"},{"issue":"3","key":"e_1_2_13_3_1","doi-asserted-by":"crossref","first-page":"500","DOI":"10.1097\/ALN.0000000000005077","article-title":"Effect of Remimazolam on Emergence Delirium in Children Undergoing Laparoscopic Surgery: A Double\u2010Blinded Randomized Trial","volume":"141","author":"Cai Y. H.","year":"2024","journal-title":"Anesthesiology"},{"issue":"11","key":"e_1_2_13_4_1","doi-asserted-by":"crossref","first-page":"1300","DOI":"10.1164\/rccm.202108-1972OC","article-title":"Association of Positive End\u2010Expiratory Pressure and Lung Recruitment Selection Strategies With Mortality in Acute Respiratory Distress Syndrome: A Systematic Review and Network Meta\u2010Analysis","volume":"205","author":"Dianti J.","year":"2022","journal-title":"American Journal of Respiratory and Critical Care Medicine"},{"issue":"3","key":"e_1_2_13_5_1","doi-asserted-by":"crossref","first-page":"195","DOI":"10.1016\/S2213-2600(23)00346-6","article-title":"Individualised, Perioperative Open\u2010Lung Ventilation Strategy During One\u2010Lung Ventilation (iPROVE\u2010OLV): A Multicentre, Randomised, Controlled Clinical Trial","volume":"12","author":"Ferrando C.","year":"2024","journal-title":"Lancet Respiratory Medicine"},{"issue":"4","key":"e_1_2_13_6_1","doi-asserted-by":"crossref","first-page":"1155","DOI":"10.1007\/s10877-021-00750-9","article-title":"Effect of Pressure\u2010Controlled Ventilation\u2010Volume Guaranteed Mode Combined With Individualized Positive End\u2010Expiratory Pressure on Respiratory Mechanics, Oxygenation and Lung Injury in Patients Undergoing Laparoscopic Surgery in Trendelenburg Position","volume":"36","author":"Li J.","year":"2022","journal-title":"Journal of Clinical Monitoring and Computing"},{"issue":"2","key":"e_1_2_13_7_1","doi-asserted-by":"crossref","first-page":"326","DOI":"10.1213\/ANE.0000000000006973","article-title":"Bronchial Blocker Versus Endobronchial Intubation in Young Children Undergoing One\u2010Lung Ventilation: A Multicenter Retrospective Cohort Study","volume":"140","author":"McLaughlin C. S.","year":"2024","journal-title":"Anesthesia and Analgesia"},{"issue":"2","key":"e_1_2_13_8_1","doi-asserted-by":"crossref","first-page":"374","DOI":"10.1097\/01.CCM.0000045567.78801.CC","article-title":"Nursing Activities Score","volume":"31","author":"Miranda D. R.","year":"2003","journal-title":"Critical Care Medicine"},{"key":"e_1_2_13_9_1","doi-asserted-by":"crossref","first-page":"3","DOI":"10.1016\/j.iccn.2018.03.005","article-title":"Validation of the Nursing Workload Scoring Systems \u2018Nursing Activities Score\u2019 (NAS), and \u2018Therapeutic Intervention Scoring System for Critically Ill Children\u2019 (TISS\u2010C) in a Greek Paediatric Intensive Care Unit","volume":"48","author":"Nieri A. S.","year":"2018","journal-title":"Intensive and Critical Care Nursing"},{"issue":"1","key":"e_1_2_13_10_1","doi-asserted-by":"crossref","DOI":"10.1038\/s41572-023-00470-1","article-title":"Congenital Lung Malformations","volume":"9","author":"Pederiva F.","year":"2023","journal-title":"Nature Reviews Disease Primers"},{"issue":"5","key":"e_1_2_13_11_1","doi-asserted-by":"crossref","first-page":"290","DOI":"10.1016\/j.iccn.2011.07.003","article-title":"The Characterisation of Workloads and Nursing Staff Allocation in Intensive Care Units: A Descriptive Study Using the Nursing Activities Score for the First Time in Norway","volume":"27","author":"Stafseth S. K.","year":"2011","journal-title":"Intensive and Critical Care Nursing"},{"issue":"5","key":"e_1_2_13_12_1","doi-asserted-by":"crossref","first-page":"842","DOI":"10.1097\/ALN.0000000000003971","article-title":"Hypoxemia in Young Children Undergoing One\u2010Lung Ventilation: A Retrospective Cohort Study","volume":"135","author":"Templeton T. W.","year":"2021","journal-title":"Anesthesiology"},{"issue":"5","key":"e_1_2_13_13_1","doi-asserted-by":"crossref","first-page":"1389","DOI":"10.1213\/ANE.0000000000005077","article-title":"An Update on One\u2010Lung Ventilation in Children","volume":"132","author":"Templeton T. W.","year":"2021","journal-title":"Anesthesia and Analgesia"},{"issue":"2","key":"e_1_2_13_14_1","doi-asserted-by":"crossref","first-page":"151","DOI":"10.1093\/bja\/aew173","article-title":"Effects of Anaesthesia on Paediatric Lung Function","volume":"117","author":"Trachsel D.","year":"2016","journal-title":"British Journal of Anaesthesia"},{"issue":"8","key":"e_1_2_13_15_1","article-title":"It's Not Over Till It's Over: A Prospective Cohort Study and Analysis of \u2018Anesthesia Stat!\u2019 Emergency Calls in the Pediatric Post\u2010Anesthesia Care Unit (PACU)","volume":"13","author":"Vishneski S. R.","year":"2021","journal-title":"Cureus"},{"issue":"10","key":"e_1_2_13_16_1","doi-asserted-by":"crossref","first-page":"1602","DOI":"10.1097\/CCM.0000000000006357","article-title":"Lung\u2010Protective Ventilation for Pediatric Acute Respiratory Distress Syndrome: A Nonrandomized Controlled Trial","volume":"52","author":"Wong J.","year":"2024","journal-title":"Critical Care Medicine"},{"issue":"6","key":"e_1_2_13_17_1","doi-asserted-by":"crossref","first-page":"898","DOI":"10.1016\/j.bja.2019.08.017","article-title":"Lung\u2010Protective Ventilation for the Surgical Patient: International Expert Panel\u2010Based Consensus Recommendations","volume":"123","author":"Young C. C.","year":"2019","journal-title":"British Journal of Anaesthesia"},{"issue":"5","key":"e_1_2_13_18_1","doi-asserted-by":"crossref","first-page":"815","DOI":"10.1016\/j.bja.2022.07.009","article-title":"Individualised Positive End\u2010Expiratory Pressure in Abdominal Surgery: A Systematic Review and Meta\u2010Analysis","volume":"129","author":"Zorrilla\u2010Vaca A.","year":"2022","journal-title":"British Journal of Anaesthesia"}],"container-title":["Nursing Open"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nop2.70935","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/nop2.70935","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/nop2.70935","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,10,13]],"date-time":"2026-10-13T19:00:28Z","timestamp":1791918028000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/nop2.70935"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,10]]},"references-count":17,"journal-issue":{"issue":"10","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1002\/nop2.70935"],"URL":"https:\/\/doi.org\/10.1002\/nop2.70935","archive":["Portico"],"relation":{},"ISSN":["2054-1058","2054-1058"],"issn-type":[{"value":"2054-1058","type":"print"},{"value":"2054-1058","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,10]]},"assertion":[{"value":"2026-02-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-10-13","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e70935"}}