Atelectasis is a major factor in postoperative morbidity for patients undergoing cardiopulmonary surgery. We evaluated the effectiveness of stacked inspiratory spirometry (STIS) in 17 patients status postcoronary artery bypass graft in a nonrandomized fashion. We measured pulmonary shunt as an endpoint, and compared the magnitudes before and after the STIS maneuver. Our results showed an 8.66 p...

Gas exchange impairment and the development of atelectasis during enflurane anaesthesia were studied in 10 patients (mean age 70 yrs) with chronic obstructive pulmonary disease (COPD). Awake, no patient displayed atelectasis as assessed by computed X-ray tomography. The ventilation/perfusion distribution (VA/Q), studied by the multiple inert gas elimination technique, displayed an increased dis...

Bronchoscopic therapies to reduce lung volumes in chronic obstructive pulmonary disease are intended to avoid the risks associated with lung volume reduction surgery (LVRS) or to be used in patient groups in whom LVRS is not appropriate. Bronchoscopic lung volume reduction (BLVR) using endobronchial valves to target unilateral lobar occlusion can improve lung function and exercise capacity in p...

Insufficient control of post-thoracotomy pain can produce breathing dysfunction and long term staying in neonatal intensive care unit (NICU). It can increase the incidence of pulmonary complications such as atelectasis, pneumonia and respiratory failure. The aim of this study was to determine the analgesic effect of continuous extrapleural nerve block, using ropivacaine, in neonates younger tha...

BACKGROUND Optimal turning of critically ill patients is not well established. Kinetic therapy (systematic mechanical rotation of patients with 40 degree turns) may improve pulmonary function more than the improvement in function achieved via the standard of care (turning patients every 2 hours). OBJECTIVE To determine (1) if patients receiving mechanical ventilation who tolerate kinetic ther...

Objectives: Video-assisted thoracoscopic surgery (VATS) is generally recognized as a less invasive method than thoracotomy. However, the in ̄uence of VATS on postoperative pulmonary gas exchange has yet to be evaluated. Methods: Thirty eight patients with spontaneous pneumothorax were randomized into bullectomy by VATS (n ˆ 20) or axillary thoracotomy (n ˆ 18). Gas exchange was assessed by using...

THE ORIGINAL USE Of the Carlens catheter in thoracic surgery was to prevent contamination of healthy lungs with secretions. Today it is widely used also to obtain an optimal operating exposure by excluding the lung in the opened hemithorax from the anaesthetic system3 Extremely low arterial oxygen tensions may occur with this technique because of intentional collapse of the non-dependent lung a...

It is extremely unusual for primary pulmonary lymphoma, an uncommon occurrence in any form, to be of T-cell origin and manifest as endobronchial lesion. Each these characteristics rare individually, so cases that combine them are exceptional. We report a patient whom anaplastic large cell neoplasm, presented with obstruction the left upper lobe bronchus, resulting atelectasis creating radiograp...

Postoperative atelectasis should be avoided in surgical patients with impaired pulmonary function. Nasal high-flow (NHF) therapy delivered by the Optiflow™ system (Fisher & Paykel Healthcare Ltd., Auckland, New Zealand) is a new, simple device that supplies heated and humidified oxygen gas at >30 L/min via a large-bore nasal cannula. We herein describe a case in which respiratory support with N...

introduction: following thoracic and abdominal surgery, all patients experience a decrease in pulmonary volumes and atelectasis. different methods are suggested for improvement of pulmonary volumes and blood gas parameters in these patients. in this study the effects of spirometry on pulmonary volumes and blood gases parameters (abg) in coronary artery bypass patients, were examined.  materials...