Journal ArticleDOI
Pulmonary atelectasis: a pathogenic perioperative entity.
Reads0
Chats0
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
More filters
Journal ArticleDOI
A trial of intraoperative low-tidal-volume ventilation in abdominal surgery.
Emmanuel Futier,Jean-Michel Constantin,Catherine Paugam-Burtz,Julien Pascal,Mathilde Eurin,Arthur Neuschwander,Emmanuel Marret,Marc Beaussier,Christophe Gutton,Jean-Yves Lefrant,Bernard Allaouchiche,Daniel Verzilli,Marc Leone,Audrey De Jong,Jean-Etienne Bazin,Bruno Pereira,Samir Jaber +16 more
TL;DR: The use of a lung-protective ventilation strategy in intermediate-risk and high-risk patients undergoing major abdominal surgery was associated with improved clinical outcomes and reduced health care utilization.
Journal ArticleDOI
Prediction of Postoperative Pulmonary Complications in a Population-based Surgical Cohort
Jaume Canet,Lluis Gallart,Carmen Gomar,Guillem Paluzie,Jordi Vallés,Jordi Castillo,Sergi Sabaté,Valentín Mazo,Zahara Briones,Joaquín Sanchis +9 more
TL;DR: The risk index based on seven objective, easily assessed factors has excellent discriminative ability and can be used to assess individual risk of PPC and focus further research on measures to improve patient care.
Journal ArticleDOI
High versus low positive end-expiratory pressure during general anaesthesia for open abdominal surgery (PROVHILO trial): a multicentre randomised controlled trial.
TL;DR: A strategy with a high level of positive end-expiratory pressure and recruitment manoeuvres during open abdominal surgery does not protect against postoperative pulmonary complications, and an intraoperative protective ventilation strategy should include a low tidal volume and low positiveEnd-expiration pressure, without recruitment manoeuvre.
Journal ArticleDOI
Practice guidelines for central venous access: a report by the American Society of Anesthesiologists Task Force on Central Venous Access.
Stephen M. Rupp,Jeffrey L. Apfelbaum,Casey D. Blitt,Robert A. Caplan,Richard T. Connis,Karen B. Domino,Lee A. Fleisher,Stuart A. Grant,Jonathan B. Mark,Paradise Valley,David G. Nickinovich,Avery Tung +11 more
TL;DR: Practice Guidelines provide basic recommendations that are supported by a synthesis and analysis of the current literature, expert and practitioner opinion, open forum commentary, and clinical feasibility data that assist the practitioner and patient in making decisions about health care.
Journal ArticleDOI
Difficult Airway Society Guidelines for the management of tracheal extubation: Management of tracheal extubation
TL;DR: The Difficult Airway Society has developed guidelines for the safe management of tracheal extubation in adult peri‐operative practice, and they emphasise the importance of planning and preparation and include practical techniques for use in clinical practice and recommendations for post‐extubation care.
References
More filters
Journal ArticleDOI
Surfactant release in excised rat lung is stimulated by air inflation.
TL;DR: The hypothesis that air inflation to total lung capacity is a major physiological stimulus to release of lung surfactant into the alveolar space is consistent with the hypothesis that the lung lavage process itself also causes the release of Surfactant.
Journal ArticleDOI
Breathing mechanics, dead space and gas exchange in the extremely obese, breathing spontaneously and during anaesthesia with intermittent positive pressure ventilation.
Göran Hedenstierna,J. Santesson +1 more
TL;DR: It is concluded that the most probable reason for the relative hypoxaemia is right‐to‐left shunting.
Journal ArticleDOI
Respiratory function and ribcage contribution to ventilation in body positions commonly used during anesthesia
Andrew B Lumb,John F. Nunn +1 more
TL;DR: Lung function tests are normally performed in the upright position, whereas anesthesia is usually administered with the patient in the supine position, and occasionally in other postures, so forced vital capacity, forced expiratory volume, and functional residual c are compared.
Journal ArticleDOI
Phrenic Nerve Stimulation during Halothane Anesthesia: Effects on Atelectasis
TL;DR: Atelectasis formation during anesthesia may be due to loss of respiratory muscle tone, in particular that of the diaphragm, and this was tested by tensing the diphragm by phrenic nerve stimulation (PNS) and observing the effect on atelectasis.
Journal ArticleDOI
Altered Distribution of Pulmonary Ventilation and Blood Flow Following Induction of Inhalational Anesthesia
TL;DR: An alternative index, the development of CO2 retention at constant alveolar ventilation, more reliably identified patients in whom severe VA/Q inequality developed during inhalational anesthesia.