Positive end-expiratory pressure (PEEP) has been extensively utilized in the treatment of severe hypoxemia from noncardiogenic pulmonary edema. The usefulness of therapy with PEEP in the management of lobar atelectasis has not been previously stressed. Recently, we observed four patients with lobar atelectasis who failed to respond to the usual conservative measures of endotracheal suctioning a...

Edmark, L. 2013. Reducing Atelectasis during General Anaesthesia – the Importance of Oxygen Concentration, End-Expiratory Pressure and Patient Factors. A Clinical Study Exploring the Prevention of Atelectasis in Adults. Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine 954. 59 pp. Uppsala: Acta Universitatis Upsaliensis. ISBN 978-91-554-8808-6. Background: Th...

A 25-year-old female presented with sudden-onset dyspnoea. A chest X-ray showed total atelectasis on the left haemithorax (Fig. 1). A chest computed tomography (CT) revealed a cystic mass in the posterior mediastinum that compressed the left main bronchus (Fig. 2). Pathological examination confirmed a broncho-genic cyst in the posterior mediastinum. Figure 1: Chest X-ray showing total atelectas...

Background. Atelectasis is known to develop during anaesthesia and after operation atelectasis leads to impaired oxygenation. Lung recruitment manoeuvres, positive end-expiratory pressure (PEEP), and continuous positive airway pressure (CPAP) have been proposed for reduction of atelectasis but their benefits have not been shown to persist after operation. We proposed that a combination of these...

The purpose of this study was to determine the influence of atelectasis on pulmonary function 6 days following coronary artery bypass grafting (CABG). After 6 days, 30 patients had normal chest radiographs, 38 had atelectasis, and 57 had pleural changes. In 11 patients, atelectasis only was observed in the radiograph, and in 27 it was in combination with pleural changes. The decrease in FVC and...

BACKGROUND Compared to the pulmonary lobe, the anatomical structure of the pulmonary segment is relatively complex and prone to variation, thus the risk and difficulty of segmentectomy is increased. We compared three-dimensional computed tomography bronchography and angiography (3D-CTBA) combined with 3D video-assisted thoracic surgery (3D-VATS) to perform segmentectomy to conventional two-dime...

Nasal continuous positive airway pressure (CPAP) has been widely and safely used in the treatment of sleep disorders but has not been previously utilized for therapy of pulmonary atelectasis in adults. We observed three patients with significant atelectasis which was refractory to conventional chest physiotherapy. Bronchoscopy was not a viable therapeutic option in any patient. Therapy with con...

A preschool four-year-old male patient had been admitted to the Mandaqui Hospital with a diagnosis of lobar pneumonia, pleural effusion, and right lung atelectasis. Treatment consisted of antibiotics and physiotherapy sessions, using a technique described in the literature as Insufflation Technique to Reverse Atelectasis (ITRA), which consists of a thoracic block of healthy lung tissue, leaving...

J N MOST texts on pulmonary complications, aspiration of stomach contents 1 into the lungs during general anesthesia is considered under the heading of postanesthetic pneumonia. Aspiration of infected material is said to produce atelectasis, pne-umonia, and lung abscess .. A survey of New York Lying-In Hospital records of patients that aspirated gastric contents during obstetric anesthesia reve...