Abstract：
In this prospective randomised controlled trial, we compared the impact of the lateral versus supine position for tracheal extubation among infants aged two months to two years after intraabdominal surgery on the incidence of respiratory adverse events that may occur after extubation. The anaesthesia protocol was standardised. Among the 120 infants included (60 in each group), the demographic and perioperative data were comparable between both groups. The incidence of perioperative respiratory adverse events after tracheal extubation was 21.6% and 5% in the supine and lateral position groups, respectively, with p = 0.007 and odds ratio = 3.87; 95% confidence interval: 1.18-12.6. Lateral position also reduced the incidence of airway obstruction with p = 0.004 and odds ratio = 11.8; 95% confidence interval: 1.46-95.3 and oxygen desaturation below 92% with p = 0.008 and odds ratio = 11.8; 95% confidence interval: 1.46-95. The lateral position seems to be practical and beneficial for tracheal extubation among infants.
摘要：
在这项前瞻性随机对照试验中，我们比较了侧卧位和仰卧位在腹内手术后2个月至2年的婴儿气管拔管时对拔管后可能发生的呼吸不良事件发生率的影响.麻醉方案是标准化的。在包括的120名婴儿中（每组60名），两组的人口统计学数据和围手术期数据具有可比性.仰卧位和侧卧位组气管拔管后围手术期呼吸不良事件发生率分别为21.6%和5%,分别,p=0.007，比值比=3.87；95%置信区间：1.18-12.6。侧卧位也降低了气道阻塞的发生率，p=0.004，比值比=11.8；95％置信区间：1.46-95.3，氧饱和度低于92％，p=0.008，比值比=11.8；95％置信区间：1.46-95。侧卧位似乎对婴儿气管拔管实用且有益。
