A 28-year-old neuromuscular patient chronically treated with nocturnal noninvasive ventilation developed pulmonary lobar atelectasis and daytime hypoxemia. Twenty four-hour 5L/min oxygen was begun, while mechanical cough assist aids were applied for seven days. In the following three days, treatment with nebulized Dornase alpha (rhDNase) b.i.d. was tested, without any significant improvement. O...

This prospective study was designed to determine the incidence of pulmonary complications after open cardiac surgery as well identity predisposing factors these at NICVD, Dhaka, Bangladesh. The cumulative heart 16.85% (15of 89) with a mortality rate 33.33% (5 15) and overall among all patients 5.62% 89). Pulmonary occurred in 15.9% coronary artery revascularization, 11.53% valvular replacement ...

BACKGROUND Atelectasis is one of the most common postoperative complications encountered in head and neck surgery. Risk factors include preexisting pulmonary disease, the procedure performed, and the length of anesthetic. Regional flaps used to reconstruct defects in the head and neck predispose to radiographic atelectasis. The rectus abdominis myocutaneous flap is usually transferred as a free...

CONTEXT Pulmonary complications are the most common forms of postoperative morbidity in thoracic surgery, especially atelectasis and pneumonia. The first step in avoiding these complications during the postoperative period is to detect the patients that may develop them. OBJECTIVE To identify risk variables leading to early postoperative pulmonary complications in thoracic surgery. DESIGN P...

BACKGROUND The combination of cytoreductive surgery (CRS) and hyperthermic intraperitoneal chemotherapy (HIPEC) is a curative treatment option for peritoneal carcinomatosis (PC). There have been few studies on the pulmonary adverse events (AEs) affecting patient recovery after this treatment, thus this study investigated these factors. METHODS Between January 2005 and December 2006, clinical ...

BACKGROUND Atelectasis after either vaginal or Caesarean delivery has not been adequately quantified. This study addresses the hypothesis that atelectasis may be worse in women who undergo Caesarean section when compared with vaginal delivery under regional anaesthesia. METHODS Twenty healthy non-smoking women submitted to a chest computed tomography (CT) 2 h after delivery in a University Ho...

OBJECTIVE To investigate the feasibility and effects of preoperative inspiratory muscle training on the incidence of atelectasis in patients at high risk of postoperative pulmonary complications scheduled for elective abdominal aortic aneurysm surgery. DESIGN Single-blind randomized controlled pilot study. SETTING Gelderse Vallei Hospital Ede, the Netherlands. SUBJECTS Twenty high-risk pa...

Background: Pulmonary atelectasis is common following sternotomy for cardiac surgery. The degree of atelectasis present on chest x-ray has been used to assess efficacy of interventions designed to reduce atelectasis, however radiological atelectasis scoring systems used may exaggerate the clinical effect of atelectasis in these patients. We have produced an alternative scoring system that seeks...

Pulmonary chondromatous (or chondroid) hamartomas are common benign tumours of the lung and may be either parenchymal or endobronchial. The latter are only rarely encountered and have a variation in their clinical presentation related to the endobronchial obstructive lesion, including atelectasis, pneumonia, hemoptysis. If not diagnosed early and treated properly, endobronchial hamartomas can c...