At the beginning of the last century, Pasteur described postoperative pulmonary atelectasis, analysed postoperative pulmonary complications (PCC; see below) and noted: `when the true history of postoperative lung complications comes to be written, active collapse of the lung, from de®ciency of inspiratory power, will be found to occupy an important position among determining causes'. Indeed, at...

OBJECTIVE This case report describes an unusual presentation of right upper lobe atelectasis associated with refractory hypoxemia to conventional alveolar recruitment maneuvers in a patient soon after coronary artery bypass grafting surgery. METHOD Case-report. RESULTS The alveolar recruitment with PEEP = 40 cm H2O improved the patient's atelectasis and hypoxemia. CONCLUSION In the presen...

BACKGROUND AND OBJECTIVES Lung hyperinflation maneuvers (LHM) reverse intraoperative atelectasis; however, they can lead to pulmonary-induced systemic inflammatory response. The objective of this study was to determine the impact of LHM on systemic inflammatory response and lung structure in patients undergoing subarachnoid block. METHODS After approval by the Ethics Committee of the institut...

1129 November 2012 A woman with a massive liver sarcoma presented with severe hypotension requiring high-dose vasopressor support (norepinephrine at 50 mcg/min), increased central venous pressure (more than 20 mmHg), and respiratory failure (requiring volume control ventilation with inspiratory oxygen fraction FIO2, 0.8 and positive end expiratory pressure, 12). Preoperative transthoracic echoc...

ภาวะปอดแฟบเป็นปัญหาท่ีพบได้บ่อยในเวชปฏิบัติ โดยเฉพาะในเด็ก โดยสาเหตุหลักๆ คือ ภาวะปอดแฟบที่เกิด จากอากาศถูกดูดซึม เกิดจากการถูกกดเบียดและเกิดจากการ ยึดติดกันของถุงลม การวินิจฉัยปัญหานี้อาศัยการซักประวัติ ตรวจร่างกายและการสืบค้นท่ีสมบูรณ์และต้องการผู้แปลผลท่ี มีประสบการณ์ การตรวจเอกซเรย์ปอดท้ังภาพถ่ายด้านหน้า หลังและด้านข้างมีความส�าคัญมากในการวินิจฉัย เทคนิคการ สืบค้นใหม่ๆ อย่างเช่นการตรวจ PET/CT scan ด้วย F-18 FDG จะช่วยแย...

INTRODUCTION In lung cancer surgery, large tidal volume and elevated inspiratory pressure are known risk factors of acute lung (ALI). Mechanical ventilation with low tidal volume has been shown to attenuate lung injuries in critically ill patients. In the current study, we assessed the impact of a protective lung ventilation (PLV) protocol in patients undergoing lung cancer resection. METHODS...

This report describes a case in which a patient presented with hemothorax after a minimally invasive transforaminal lumbar interbody fusion (mTLIF) was performed under general anesthesia. Diagnosis of hemothorax was delayed because it is a rare complication of mTLIF. Following surgery, the patient was diagnosed with total atelectasis by a respiratory physician in the intensive care unit. The at...

Pulmonary atelectasis is described as a state of a given region of lung parenchyma collapsed and non-aerated. This study aimed to describe the characteristics and clinical outcome of children with atelectasis, assisted by physical therapy service. This is a case report whose information was collected from records of children hospitalized at the University Hospital of Londrina/HU, in 2009. Seven...

BACKGROUND Atelectasis is a common finding in mechanically ventilated children with healthy lungs. This lung collapse cannot be overcome using standard levels of positive end-expiratory pressure (PEEP) and thus for only individualized lung recruitment maneuvers lead to satisfactory therapeutic results. In this short communication, we demonstrate by lung ultrasound images (LUS) the effect of a p...