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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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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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.
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Practice guidelines for central venous access: a report by the American Society of Anesthesiologists Task Force on Central Venous Access.
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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
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References
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Journal ArticleDOI
Pulmonary densities during anesthesia with muscular relaxation--a proposal of atelectasis.
TL;DR: It is suggested that these crest-shaped densities represent atelectases, which develop by compression of lung tissue rather than by resorption of gas.
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Effects of positive end-expiratory pressure on regional distribution of tidal volume and recruitment in adult respiratory distress syndrome
TL;DR: The distribution of tidal volume (VT) and recruitment was investigated by chest computed tomography (CT) in eight sedated-paralyzed patients with the adult respiratory distress syndrome (ARDS) and found that with increasing PEEP, the VTct distribution decreased significantly in the upper levels, did not change in the middle levels, and increased significantly (p < 0.01) in the lower levels.
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The effects of body mass on lung volumes, respiratory mechanics, and gas exchange during general anesthesia
Paolo Pelosi,M. Croci,I Ravagnan,Stefano Tredici,Alessia Pedoto,Alfredo Lissoni,Luciano Gattinoni +6 more
TL;DR: The effects of body mass index (BMI) on functional residual capacity (FRC), respiratory mechanics, respiratory mechanics (compliance and resistance), gas exchange, and the inspiratory mechanical work done per liter of ventilation during general anesthesia are investigated.
Journal ArticleDOI
Mechanical ventilation affects local and systemic cytokines in an animal model of acute respiratory distress syndrome
TL;DR: It is suggested that the particular ventilatory strategy can affect the release of cytokines into the systemic circulation, a finding that may have relevance for the development of multisystem organ failure.
Journal ArticleDOI
Morbid obesity and postoperative pulmonary atelectasis: an underestimated problem.
A. S. Eichenberger,Stefania Proietti,S. Wicky,Philippe Frascarolo,Michel Suter,Donat R. Spahn,Lennart Magnusson +6 more
TL;DR: Perturbation of respiratory mechanics produced by general anesthesia and surgery is more pronounced in morbidly obese (MO) patients, and general anesthesia in MO patients generated much more atelectasis than in nonobese patients.