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
Continuous positive airway pressure (CPAP) provision with a pediatric helmet for treatment of hypoxemic acute respiratory failure in dogs.
Gianila Ceccherini,Ilaria Lippi,Simonetta Citi,Francesca Perondi,Michela Pamapanini,Grazia Guidi,Angela Briganti +6 more
TL;DR: The use of a pediatric helmet appears to be a suitable device for delivery of CPAP in dogs with hypoxemic acute respiratory failure and improved oxygenation in most dogs.
Journal ArticleDOI
Role of Positive End-Expiratory Pressure and Regional Transpulmonary Pressure in Asymmetrical Lung Injury.
L. Bastia,Doreen Engelberts,K. Osada,Bhushan H. Katira,L. Felipe Damiani,L. Felipe Damiani,Takeshi Yoshida,Lu Chen,Niall D. Ferguson,Niall D. Ferguson,Marcelo B. P. Amato,Martin Post,Brian P. Kavanagh,Laurent Brochard,Laurent Brochard +14 more
TL;DR: Despite asymmetrical lung injury, Ppl between injured and non-injured lungs is equalized and esophageal pressure is a reliable estimate of dorsal Ppl and driving transpulmonary pressure is similar for both lungs.
Journal ArticleDOI
Preventive nebulization of mucolytic agents and bronchodilating drugs in invasively ventilated intensive care unit patients (NEBULAE): study protocol for a randomized controlled trial
Sophia van der Hoeven,Jan M. Binnekade,Corianne A. J. M. de Borgie,Frank H. Bosch,Henrik Endeman,Janneke Horn,Nicole P. Juffermans,Nardo J. M. van der Meer,Maruschka P. Merkus,Hazra S. Moeniralam,Bart van Silfhout,Mathilde Slabbekoorn,Willemke Stilma,Jan Willem Wijnhoven,Marcus J. Schultz,Frederique Paulus +15 more
TL;DR: The NEBULAE trial is the first randomized controlled trial powered to investigate whether preventive nebulization of acetylcysteine and salbutamol shortens the duration of ventilation in critically ill patients.
Journal ArticleDOI
Effect of position and time held in that position on ground-glass opacity in computed tomography images of dogs.
Sang Kwon Lee,Seungjo Park,Byunggyu Cheon,Sohyeon Moon,Sunghwa Hong,Hyun Min Cho,Dongwoo Chang,Jihye Choi +7 more
TL;DR: In this article, the authors evaluated the effects of position, time in that position, and positive end-expiratory pressure on ground-glass opacity caused by physiologic atelectasis on lung CT images and to determine effects of recumbency position before CT.
Journal ArticleDOI
Lobar Collapse Immediately After Orthognathic Surgery
TL;DR: In the following case, the author reviews ultilobar collapse after orthognathic surgery and discusses the potential need for maxillomandibular xation and nasal intubation following surgery.
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.
Journal ArticleDOI
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.
Journal ArticleDOI
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.