{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,11]],"date-time":"2026-03-11T00:20:59Z","timestamp":1773188459459,"version":"3.50.1"},"reference-count":25,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T00:00:00Z","timestamp":1768348800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T00:00:00Z","timestamp":1768348800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100001809","name":"National Natural Science Foundation of China","doi-asserted-by":"publisher","award":["82405194"],"award-info":[{"award-number":["82405194"]}],"id":[{"id":"10.13039\/501100001809","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Pediatric Anesthesia"],"published-print":{"date-parts":[[2026,4]]},"abstract":"ABSTRACT<\/jats:title>\n \n Background<\/jats:title>\n Pulmonary complications occur at a notably high frequency following pediatric cardiac surgery, among which atelectasis is highly prevalent. Current research is inadequate regarding the development and risk factors for atelectasis in children.<\/jats:p>\n <\/jats:sec>\n \n Aims<\/jats:title>\n To investigate the incidence of atelectasis on the first day after right subaxillary small\u2010incision congenital heart disease surgery and to identify risk factors for atelectasis.<\/jats:p>\n <\/jats:sec>\n \n Methods<\/jats:title>\n This study retrospectively collected data on children who underwent elective surgery (procedures: atrial septal defect repair, ventricular septal defect repair, or combined procedures in the left lateral decubitus position) at our hospital. Lung ultrasound findings on postoperative day one were collected to evaluate the incidence of atelectasis. Univariate screening followed by multivariable linear regression modeling was performed to identify risk factors for atelectasis.<\/jats:p>\n <\/jats:sec>\n \n Results<\/jats:title>\n \n A total of 254 children were included in the data collection, with a median [IQR] age of 37.0 [23.0\u201358.0] months. The optimal model identified the following independent risk factors for atelectasis: younger age (\u03b2\u2009=\u2009\u22120.03, 95% CI: \u22120.04 to \u22120.02,\n p<\/jats:italic>\n \u2009<\u20090.001), higher BMI (\u03b2\u2009=\u20090.55, 95% CI: 0.41\u20130.69,\n p<\/jats:italic>\n \u2009<\u20090.001), prolonged anesthesia duration (\u03b2\u2009=\u20090.01, 95% CI: 0.004\u20130.02,\n p<\/jats:italic>\n \u2009=\u20090.001), sufentanil dose >\u20092.0\u2009\u03bcg\u00b7kg\n \u22121<\/jats:sup>\n \u00b7h\n \u22121<\/jats:sup>\n (\u03b2\u2009=\u20091.45, 95% CI: 1.01\u20131.89,\n p<\/jats:italic>\n \u2009<\u20090.001), and higher doses of cisatracurium (\u03b2\u2009=\u20091.17, 95% CI: 0.65\u20131.69,\n p<\/jats:italic>\n \u2009<\u20090.001), and atelectasis showed an aggravating trend (\u03b2\u2009=\u20090.16, 95% CI: 0.09\u20130.23,\n p<\/jats:italic>\n \u2009<\u20090.001). The model demonstrated satisfactory goodness\u2010of\u2010fit (\n R<\/jats:italic>\n 2<\/jats:sup>\n \u2009=\u20090.699, adjusted\n R<\/jats:italic>\n 2<\/jats:sup>\n \u2009=\u20090.691,\n F<\/jats:italic>\n \u2010statistic\u2009=\u200989.068).\n <\/jats:p>\n <\/jats:sec>\n \n Conclusion<\/jats:title>\n \n The identified independent risk factors for atelectasis include younger age, higher BMI, prolonged anesthesia duration, sufentanil dose exceeding 2.0\u2009\u03bcg\u00b7kg\n \u22121<\/jats:sup>\n \u00b7h\n \u22121<\/jats:sup>\n and higher doses of cisatracurium, with the severity of atelectasis progressively worsening over time.\n <\/jats:p>\n <\/jats:sec>","DOI":"10.1002\/pan.70111","type":"journal-article","created":{"date-parts":[[2026,1,14]],"date-time":"2026-01-14T09:57:01Z","timestamp":1768384621000},"page":"431-439","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Risk Factors for Atelectasis Following Right Subaxillary Small\u2010Incision Congenital Heart Surgery in Children: A Retrospective Cross\u2010Sectional Study"],"prefix":"10.1002","volume":"36","author":[{"given":"Anwen","family":"Zheng","sequence":"first","affiliation":[{"name":"Department of Anesthesiology Children's Hospital of Nanjing Medical University Nanjing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Weiwei","family":"Cai","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Children's Hospital of Nanjing Medical University Nanjing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Danling","family":"Hu","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Children's Hospital of Nanjing Medical University Nanjing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jiaying","family":"Yang","sequence":"additional","affiliation":[{"name":"Department of Epidemiology and Health Statistics, School of Medicine Nanjing University of Chinese Medicine Nanjing China"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shan","family":"Zhong","sequence":"additional","affiliation":[{"name":"Department of Anesthesiology Children's Hospital of Nanjing Medical University Nanjing 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