{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T12:08:23Z","timestamp":1777378103303,"version":"3.51.4"},"reference-count":22,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2003,4,1]],"date-time":"2003-04-01T00:00:00Z","timestamp":1049155200000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Anaesth Intensive Care"],"published-print":{"date-parts":[[2003,4]]},"abstract":"<jats:p>This prospective randomized controlled trial examined the effect of an \u201calveolar recruitment strategy\u201d (ARS) in healthy patients having laparoscopic cholecystectomy.<\/jats:p>\n                  <jats:p>\n                    Twenty-four consecutive ASA 1 or 2 patients were randomly allocated to an ARS or control group. All patients were manually ventilated to a maximal airway pressure of 25 to 30 cmH\n                    <jats:sub>2<\/jats:sub>\n                    O or a tidal volume of 10 ml\/kg during induction of general anaesthesia. After intubation, the control group was ventilated with standardized mechanical ventilation settings. The ARS group was manually ventilated to an airway pressure of 40 cmH\n                    <jats:sub>2<\/jats:sub>\n                    O for 10 breaths over one minute, followed by mechanical ventilation with similar standardized settings plus 5 cmH\n                    <jats:sub>2<\/jats:sub>\n                    0 positive end-expiratory pressure. Blood pressure, heart rate, arterial oxygen and carbon dioxide tension (PaO\n                    <jats:sub>2<\/jats:sub>\n                    and PaCO\n                    <jats:sub>2<\/jats:sub>\n                    ) was measured pre-induction, 20 minutes post induction but before abdominal insufflation, 20 minutes after abdominal insufflation, and 20 minutes after arrival in the recovery room.\n                  <\/jats:p>\n                  <jats:p>\n                    Demographic and operation data were similar. The ARS group pre-insufflation PaO\n                    <jats:sub>2<\/jats:sub>\n                    [30.16 (9.43)] was higher than the control group [22.19 (9.08)] (P=0.047). There was a significant difference in PaO\n                    <jats:sub>2<\/jats:sub>\n                    between the ARS [23.94 (4.87)] and control [17.26 (3.93)] groups during the post-insufflation period (P=0.001). There were no significant differences in PaO\n                    <jats:sub>2<\/jats:sub>\n                    between the groups during baseline and recovery periods. No adverse effects were reported.\n                  <\/jats:p>\n                  <jats:p>ARS improved arterial oxygenation intraoperatively in healthy patients having laparoscopic cholecystectomy, without clinical cardiovascular compromise or respiratory complication. We conclude that this alveolar recruitment strategy is a useful method of increasing arterial oxygenation.<\/jats:p>","DOI":"10.1177\/0310057x0303100206","type":"journal-article","created":{"date-parts":[[2019,1,22]],"date-time":"2019-01-22T21:20:34Z","timestamp":1548192034000},"page":"176-180","source":"Crossref","is-referenced-by-count":28,"title":["The Effect of an Alveolar Recruitment Strategy on Oxygenation during Laparascopic Cholecystectomy"],"prefix":"10.1177","volume":"31","author":[{"given":"C. K.","family":"Pang","sequence":"first","affiliation":[{"name":"Department of Anaesthesiology, Intensive Care and Operating Service, Alice Ho Miu Ling Nethersole Hospital, Tai Po, Hong Kong, SAR"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J.","family":"Yap","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Intensive Care and Operating Service, Alice Ho Miu Ling Nethersole Hospital, Tai Po, Hong Kong, SAR"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P. P.","family":"Chen","sequence":"additional","affiliation":[{"name":"Department of Anaesthesiology, Intensive Care and Operating Service, Alice Ho Miu Ling Nethersole Hospital, Tai Po, Hong Kong, SAR"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2003,4,1]]},"reference":[{"key":"bibr1-0310057X0303100206","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM196311072691901"},{"key":"bibr2-0310057X0303100206","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/81.5.681"},{"key":"bibr3-0310057X0303100206","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-199504000-00004"},{"key":"bibr4-0310057X0303100206","doi-asserted-by":"publisher","DOI":"10.1177\/0310057X9802600305"},{"key":"bibr5-0310057X0303100206","doi-asserted-by":"publisher","DOI":"10.1034\/j.1399-6576.1999.430309.x"},{"key":"bibr6-0310057X0303100206","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/82.1.8"},{"key":"bibr7-0310057X0303100206","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/71.6.788"},{"key":"bibr8-0310057X0303100206","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/82.4.551"},{"key":"bibr9-0310057X0303100206","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-6576.1995.tb05602.x"},{"key":"bibr10-0310057X0303100206","doi-asserted-by":"publisher","DOI":"10.1007\/BF01694358"},{"key":"bibr11-0310057X0303100206","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.152.6.8520744"},{"key":"bibr12-0310057X0303100206","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.151.6.7767524"},{"key":"bibr13-0310057X0303100206","doi-asserted-by":"publisher","DOI":"10.1097\/00003246-200004000-00051"},{"key":"bibr14-0310057X0303100206","doi-asserted-by":"publisher","DOI":"10.1111\/j.1399-6576.1995.tb04066.x"},{"key":"bibr15-0310057X0303100206","doi-asserted-by":"publisher","DOI":"10.1080\/110241598750004247"},{"key":"bibr16-0310057X0303100206","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/77.4.448"},{"key":"bibr17-0310057X0303100206","doi-asserted-by":"publisher","DOI":"10.1002\/bjs.1800830808"},{"key":"bibr18-0310057X0303100206","doi-asserted-by":"publisher","DOI":"10.1093\/bja\/80.3.283"},{"key":"bibr19-0310057X0303100206","doi-asserted-by":"publisher","DOI":"10.1097\/00000542-199908000-00014"},{"key":"bibr20-0310057X0303100206","doi-asserted-by":"publisher","DOI":"10.1097\/00005373-199310000-00018"},{"key":"bibr21-0310057X0303100206","first-page":"163","author":"Lumb A.","year":"2000","journal-title":"Butterworth-Heinemann, Oxford"},{"key":"bibr22-0310057X0303100206","first-page":"420","author":"Lumb A.","year":"2000","journal-title":"Butterworth-Heinemann, Oxford"}],"container-title":["Anaesthesia and Intensive Care"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0310057X0303100206","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/0310057X0303100206","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T09:10:04Z","timestamp":1777367404000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/0310057X0303100206"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2003,4]]},"references-count":22,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2003,4]]}},"alternative-id":["10.1177\/0310057X0303100206"],"URL":"https:\/\/doi.org\/10.1177\/0310057x0303100206","relation":{},"ISSN":["0310-057X","1448-0271"],"issn-type":[{"value":"0310-057X","type":"print"},{"value":"1448-0271","type":"electronic"}],"subject":[],"published":{"date-parts":[[2003,4]]}}}