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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Complications respiratoires de la chirurgie œsophagienne Respiratory complications after esophagectomy
TL;DR: Preliminary results demonstrate that the use of reduced tidal volume and moderate PEEP during the one-lung ventilation period are able to preserve the lung function.
Book ChapterDOI
Position and the Compromised Respiratory System
TL;DR: In the critical care setting, positioning is a fundamental tool for implementing an integrated respiratory care strategy and many of the therapies and problems confronted in the intensive care unit (ICU) — are strongly influenced by body orientation.
Journal ArticleDOI
Evaluación a través de tomografía computarizada del efecto de una infusión endovenosa de ketamina en el desarrollo de atelectasia inducida por anestesia general en perros
CA Henríquez,LM Mieres,Hedie Bustamante,Daniel Herzberg,CE Campillo,MP Cabrera,Marcelo Gómez +6 more
TL;DR: The aim of this study was to assess through computed tomography the presence of pulmonary atelectasis in dogs under inhalatory anesthesia and evaluate the ef...
Dissertation
Complicaciones respiratorias en pacientes post quirúrgicos de cirugia abdominal alta en una unidad de cuidado intensivo de III nivel
Efectos de la almitrina durante la ventilación unipulmonar en pacientes anestesiados con sevoflurano en cirugia torácica
TL;DR: La ventilacion de un solo pulmon (VUP) durante la reseccion pulmonar es un requisito necesario en este tipo of intervenciones ya that facilita the cirugia, y ningun ensayo estudio clinico o experimental que evaluara la asociacion de almitrina y anestesicos halogenados fue evaluada.
References
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Journal ArticleDOI
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.
Journal ArticleDOI
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.