Journal ArticleDOI
Pulmonary atelectasis: a pathogenic perioperative entity.
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TLDR
The authors discuss the effects and implications of atelectasis in the perioperative period and illustrate how preventive measures may impact outcome and the impact of atElectasis and its prevention in acute lung injury.Abstract:
Atelectasis occurs in the dependent parts of the lungs of most patients who are anesthetized. Development of atelectasis is associated with decreased lung compliance, impairment of oxygenation, increased pulmonary vascular resistance, and development of lung injury. The adverse effects of atelectasis persist into the postoperative period and can impact patient recovery. This review article focuses on the causes, nature, and diagnosis of atelectasis. The authors discuss the effects and implications of atelectasis in the perioperative period and illustrate how preventive measures may impact outcome. In addition, they examine the impact of atelectasis and its prevention in acute lung injury.read more
Citations
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Journal ArticleDOI
Outcomes after major surgery in patients with myasthenia gravis: A nationwide matched cohort study.
Yi Wen Chang,Yi Chun Chou,Chun Chieh Yeh,Chaur Jong Hu,Chih Jen Hung,Chao Shun Lin,Ta Liang Chen,Ta Liang Chen,Chien Chang Liao +8 more
TL;DR: Patients with myasthenia gravis had increased risks of postoperative adverse events, particularly those experiencing emergency care, hospitalization, and thymectomy for care of myast Hennessy gravis, suggesting the urgency of revising protocols for perioperative care for these populations.
Journal ArticleDOI
Safety and Effectiveness of Breath Stacking in Management of Persons with Acute Atelectasis
TL;DR: It was demonstrated that breath stacking plus PT was no more effective than conventional PT alone for these patients, and breath stacking was a safe procedure as practised in this study.
Journal ArticleDOI
Lung-Protective Ventilation
Rex A. Marley,Kaycee Simon +1 more
TL;DR: Lung-protective ventilation principles using more physiological tidal volumes, avoiding high inspiratory plateau pressures, along with appropriate levels of positive end-expiratory pressure have been shown to decrease pulmonary complications and improve outcomes in patients with acute respiratory distress syndrome requiring ongoing ventilatory support in the ICU.
Journal ArticleDOI
Mobilization Started Within 2 Hours After Abdominal Surgery Improves Peripheral and Arterial Oxygenation: A Single-Center Randomized Controlled Trial.
Anna Svensson-Raskh,Anna Schandl,Agneta Ståhle,Malin Nygren-Bonnier,Malin Nygren-Bonnier,Monika Fagevik Olsén,Monika Fagevik Olsén +6 more
TL;DR: In this article, the authors investigated if mobilization out of bed, within 2 hours after abdominal surgery, improved participants' respiratory function and whether breathing exercises had an additional positive effect and found that mobilization and breathing exercises significantly improved peripheral oxygenation and arterial oxygenation.
Journal ArticleDOI
Maniobra de reclutamiento alveolar en la reversión de la hipoxemia en el postoperatorio inmediato en cirugía cardiaca
José Otávio Costa Auler Júnior,Emilia Nozawa,Eliane Kobayashi Toma,Karin Lika Degaki,Maria Ignêz Z. Feltrim,Luiz Marcelo Sá Malbouisson +5 more
TL;DR: In this paper, the efectos of the maniobra de reclutamiento alveolar in the oxigenacion and volumen corriente exhalado in pacientes with hipoxemia in the post-operatorio inmediato de intervencion quirurgica cardiaca were evaluated.
References
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Ventilation with lower tidal volumes as compared with traditional tidal volumes for acute lung injury and the acute respiratory distress syndrome.
Roy G. Brower,Michael A. Matthay,Alan H. Morris,David A. Schoenfeld,B. Taylor Thompson,Arthur P. Wheeler +5 more
TL;DR: In patients with acute lung injury and the acute respiratory distress syndrome, mechanical ventilation with a lower tidal volume than is traditionally used results in decreased mortality and increases the number of days without ventilator use.
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The acute respiratory distress syndrome
TL;DR: An overview of the definitions, clinical features, and epidemiology of the acute respiratory distress syndrome is provided and advances in the areas of pathogenesis, resolution, and treatment are discussed.
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Effect of a Protective-Ventilation Strategy on Mortality in the Acute Respiratory Distress Syndrome
Marcelo B. P. Amato,Carmen Silvia Valente Barbas,D Medeiros,R B Magaldi,Guilherme Schettino,Geraldo Lorenzi-Filho,Ronaldo Adib Kairalla,Daniel Deheinzelin,Carlos Munoz,Roselaine Pinheiro de Oliveira,Teresa Yae Takagaki,Carlos Roberto Ribeiro de Carvalho +11 more
TL;DR: As compared with conventional ventilation, the protective strategy was associated with improved survival at 28 days, a higher rate of weaning from mechanical ventilation, and a lower rate of barotrauma in patients with the acute respiratory distress syndrome.
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Ventilator-induced lung injury: lessons from experimental studies.
Didier Dreyfuss,Georges Saumon +1 more
TL;DR: This paper presents experimental evidence for Increased Vascular Transmural Pressure Evidence for Alterations in Alveolar–Capillary Permeability Contributions of the Static and Dynamic Lung Volume Components to Ventilator-induced Edema High-volume Lung Edema Low Lung Volume Injury.
Journal ArticleDOI
Effect of mechanical ventilation on inflammatory mediators in patients with acute respiratory distress syndrome: a randomized controlled trial.
V. Marco Ranieri,Peter M. Suter,Cosimo Tortorella,Renato De Tullio,Jean-Michel Dayer,A. Brienza,Francesco Bruno,Arthur S. Slutsky +7 more
TL;DR: Mechanical ventilation can induce a cytokine response that may be attenuated by a strategy to minimize overdistention and recruitment/derecruitment of the lung, and these physiological improvements are associated with improvements in clinical end points.