Anesthesia-induced atelectasis assessed by lung sonography

نویسندگان

  • CM Acosta
  • G Tusman
  • D Jacovitti
  • G Maidana
  • A Belaunzarán
  • S Cereceda
  • E Rae
  • A Molina
  • S Gonorazky
چکیده

Background Atelectasis and poorly ventilated lung areas are negative consequences of general anesthesia observed in adult as well as in children. The reported incidence of this anesthesia-induced atelectasis in children is high and comes from 83 % to almost 100 %. The diagnosis of this entity is difficult to do at the bedside; they are commonly small and mostly invisible to standard chest X-ray images. More complex diagnosing techniques like CT scan or magnetic resonance imaging (MRI) can easily diagnose atelectasis although they are strategically impractical. Ultrasound is a bedside, rapid, noninvasive and radiation-free technique. Lung ultrasound (LUS) has an important role for diagnosing pulmonary diseases in children although it role for detecting anesthesia-induced atelectasis has not been determined yet.

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

منابع مشابه

Right upper lobe atelectasis after tracheal extubation in a morbidly obese patient

BACKGROUND Acute lobar collapse caused by a reflex bronchoconstriction was previously reported to occur during the induction of anesthesia, however there are no reports on its occurrence during the emergence period. CASE REPORT A 56-year-old morbidly obese woman was scheduled for surgery due to a gastric ulcer perforation. Anesthesia was induced with thiopental 500 mg, fentanyl and rocuronium...

متن کامل

Doppler images of intra-pulmonary shunt within atelectasis in anesthetized children

BACKGROUND Doppler images of pulmonary vessels in pulmonary diseases associated with subpleural consolidations have been described. Color Doppler easily identifies such vessels within consolidations while spectral Doppler analysis allows the differentiation between pulmonary and bronchial arteries. Thus, Doppler helps in diagnosing the nature of consolidations. To our knowledge, Doppler analysi...

متن کامل

Lung ultrasonography for the detection of anesthesia-induced lung atelectasis.

ultrasound-conductive substance (e.g., water, pus, blood, and fibrous tissue), the withdrawal of air (e.g., resorption atelectasis) will also lead to the genesis of B lines. Demonstrating this last point, in an ex vivo animal model of graded atelectasis, B lines were observed in increasing numbers with increasing atelectasis. Pathologic examination of the excised lungs showed diffusely compress...

متن کامل

Toward lung protective ventilation during general anesthesia: a new challenge.

As Editor-in Chief of Minerva Anestesiologica, the Italian journal devoted to the anesthesiology and critical and intensive care, I wish to congratulate the Revista Española de Anestesiología y Reanimación in its 60 years of dedication to the development of our common medical speciality. We are grateful to be invited to contribute to this celebration. Lung protective mechanical ventilation refe...

متن کامل

Application of positive end expiratory pressure during laparoscopic surgery

provided the original work is properly cited. CC Positive-pressure ventilation during general anesthesia is a prerequisite for numerous surgical conditions. Mechanical ventilation is non-physiological and can induce lung injury, although ventilator-induced lung injury may be of minor clinical importance during anesthesia for most patients with healthy lungs. However, growing evidence suggests t...

متن کامل

ذخیره در منابع من


  با ذخیره ی این منبع در منابع من، دسترسی به آن را برای استفاده های بعدی آسان تر کنید

برای دانلود متن کامل این مقاله و بیش از 32 میلیون مقاله دیگر ابتدا ثبت نام کنید

ثبت نام

اگر عضو سایت هستید لطفا وارد حساب کاربری خود شوید

عنوان ژورنال:

دوره 6  شماره 

صفحات  -

تاریخ انتشار 2014