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.
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
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Journal ArticleDOI
Alveolar recruitment prevents rapid-reperfusion-induced injury of lung transplants.
TL;DR: It is suggested that overcoming alveolar collapse with inflation or ventilation, may protect the lung from mechanical-stress-induced injury during reperfusion.
Journal ArticleDOI
Changes in mucociliary activity may be used to investigate the airway-irritating potency of volatile anaesthetics.
Anders Cervin,Sven Lindberg +1 more
TL;DR: The short-term effects of three volatile anaesthetics, halothane, isoflurane and desflurane, on mucociliary activity in the rabbit maxillary sinus in vivo are examined to conclude that the NK1-mediated response was most pronounced for desFLurane which is considered the most airway irritating compound of the three.
Journal ArticleDOI
Experience of a major incident alert at two hospitals: 'the Soho bomb'.
K.N. Williams,S. Squires +1 more
Journal ArticleDOI
Factors affecting distribution of alveolar surfactant during resting ventilation
M. J. Oyarzun,Rodrigo Iturriaga,P. Donoso,N. Dussaubat,M. Santos,M. E. Schiappacasse,M. E. Lathrop,C. Larrain,Patricio Zapata +8 more
TL;DR: Results indicate that the total content of alveolar surfactant is not modified by ventilatory variations within physiological range but that the spontaneous occurrence of large gasps increases the proportion of more active forms ofAlveolar Surfactant.
Journal ArticleDOI
Effects of inspired gas composition during anaesthesia for abdominal hysterectomy on postoperative lung volumes.
C J Joyce,A.B. Baker +1 more
TL;DR: It is concluded that absorption atelectasis during anaesthesia is not the main cause of perioperative changes in lung volume after abdominal hysterectomy and any effect of the inspired gas is likely to be of limited clinical significance.