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
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.
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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.
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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.
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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
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Journal ArticleDOI
Pulmonary clearance of 99mTc-DTPA during halothane anaesthesia.
P. Wollmer,W. Schairer,W. Schairer,J. A. H. Bos,J. A. H. Bos,W. Bakker,W. Bakker,E. P. Krenning,E. P. Krenning,B. Lachmann,B. Lachmann +10 more
TL;DR: The rapid pulmonary clearance of 99mTc‐DTPA in Group IV indicates that halothane in combination with high oxygen concentration increases the permeability of the alveolo‐capillary barrier.
Journal ArticleDOI
Modifying pulmonary ischemia-reperfusion injury by altering ventilatory strategies during ischemia
Aaron Hamvas,Chang-Kwon Park,Robert S. Palazzo,Michael J. Liptay,Joel D. Cooper,Daniel P. Schuster +5 more
TL;DR: An intact in vivo canine model of pulmonary ischemic-reperfusion (IR) injury is used to evaluate the differential effects of alveolar hypoxia and ventilation during 2 h of unilateral warm lung ischemia.
Journal ArticleDOI
Densities in dependent lung regions during anaesthesia: atelectasis or fluid accumulation?
TL;DR: The findings oppose the idea of fluid accumulation as the cause of the densities, while atelectasis remains the most plausible explanation.
Journal ArticleDOI
Effect of inspiratory resistance and PEEP on 99mTc-DTPA clearance
TL;DR: The experiments demonstrate that markedly negative inspiratory pressures do not accelerate the clearance of 99mTc-DTPA from normal lungs and are nonlinear, with large effects being seen only with very large increases in PEEP.
Journal ArticleDOI
Atelectasis and Gas Exchange Impairment During Enflurane/ Nitrous Oxide Anesthesia
TL;DR: The findings suggest that besides prompt collapse of lung tissue during induction of anaesthesia, absorption of gas from closed-off or poorly ventilated regions takes place and further increases the atelectatic area.