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
Cardiopulmonary and propofol-sparing effects of dexmedetomidine in total intravenous anesthesia in cats undergoing ovariohysterectomy
TL;DR: In this article , the effect of dexmedetomidine on the propofol-based anesthesia of cats subjected to ovariohysterectomy was assessed, and the results showed that the use of 5 µg/kg dexmedetermidine as a total intravenous anesthesia adjuvant improves cardiorespiratory stability and intraoperative analgesia while promoting a better and quicker recovery from anesthesia.
Variable ventilation versus s tepwise lung recruitment manoeuvres for lung recruitment A comparative study in an experimental model of atelectasis
Luigi Vivona,Robert Huhle,Anja Braune,Martin G. Scharffenberg,Jakob Wittenstein,Thomas Kiss,Michael Kircher,P. Herzog,Moritz Herzog,Marco Millone,Marcelo Gama de Abreu,Thomas Bluth +11 more
TL;DR: In this paper , lung recruitment was performed using two strategies, both with an individualised optimal positive end expiratory pressure (PEEP) associated with the best respiratory system elastance during a decremental PEEP trial.
Journal ArticleDOI
Manœuvres de recrutement alvéolaire en anesthésie
Emmanuel Futier,Gaëlle Cluzel +1 more
Severe Unilateral Atelectasis after Induction of General Anesthesia: Due to Aspiration of
Oropharyngeal Secretion,Jae Hong Park,Myoung Jin Ko,Sujung Lee,Sang Eun Lee,Ki Wha Lee,Sang Yoon Jeon +6 more
TL;DR: A 27-year-old man underwent general anesthesia for arthroscopic Bankart repair surgery and a chest X-ray showed aspiration pneumonia over the right lung, which was suspected to be due to endobrochial intubation.
Journal ArticleDOI
Effect of Anesthesia Machine Ventilator and ICU Ventilator on Intraoperative Oxygenation and Ventilation.
TL;DR: Hallbäck et al. as discussed by the authors evaluated the performance of the Datex-Ohmeda SmartVent anesthesia ventilator in the ICU and found that it can achieve optimal flow and pressure.
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.