Background It is well known that the most common respiratory complications after cardiac surgery are related to sternotomy, extracorporeal circulation and its inflammatory reaction [1]. Phase 1 cardiovascular rehabilitation is widely indicated to minimize the adverse effects of cardiac surgery, including respiratory function [2,3]. However, is there a critical day to physiotherapists? The study...

We searched the MEDLINE, CINAHL, and Cochrane Library databases for articles published between January 1995 and April 2011. The update of this clinical practice guideline is the result of reviewing a total of 54 clinical trials and systematic reviews on incentive spirometry. The following recommendations are made following the Grading of Recommendations Assessment, Development, and Evaluation (...

BACKGROUND Obese patients are at a high risk of postoperative complication, including surgical site infection (SSI). Our aim was to evaluate the effect of a high inspiratory oxygen fraction (80%) on SSI and pulmonary complications in obese patients undergoing laparotomy. METHODS This study was a planned analysis of the obese patients (body mass index ≥ 30 kg/m²) recruited in the Danish multic...

Objective: Post-traumatic pulmonary contusion in children is often asymptomatic at diagnosis and has a good prognosis. The aim of this study was to investigate the clinical significance extent post-traumatic contusions evaluate timing complications determine safe follow-up period with lung contusions. Methods: included pediatric patients who presented emergency department after blunt chest trau...

Massive pulmonary atelectasis is encountered in a variety of circunistances that predispose to, or produce bronchial obstruction. The obstructing agents may be tumors, intrinsic or extrinsic, foreign bodies, or abnormal secretions retained in the airways. Precipitating factors may be inhibition of the cough mechanism by drug or metabolic depression, reflex inhibition due to pain, or ineffective...

General anesthesia and mechanical ventilation impair pulmonary function, even in normal individuals, and result in decreased oxygenation in the postanesthesia period. They also cause a reduction in functional residual capacity of up to 50% of the preanesthesia value. It has been shown that pulmonary atelectasis is a common finding in anesthetized individuals because it occurs in 85% to 90% of h...

Melanoma is a tumor of pigment producing cells melanocytes. Malignant melanoma is associated with a high morbidity and mortality because of its widespread and rapid metastasis. Melanoma commonly metastasizes to lung and secondary metastatic pulmonary melanoma is a well known entity. Metastatic melanoma can present with varied pattern of pulmonary involvement ranging from post obstructive pneumo...

The application of bioelectric impedance to the measurement of tissue volume changes, long discussed, is with today's electronics innovations now a reality. The theory of this noninvasive technique is conceptually explained. Its application to continuous monitoring of the chest is described using three impedance devices, one of which was designed and developed by us. Clinical cases are describe...

The objective of this study was to assess the etiology, diagnosis, treatment methods, surgical findings, postoperative results and necropsy findings of seventeencases of thoracic traumaby evaluating medical records. A car accident, falling down, stabbing and bites were identified asthe causes of trauma. Diagnosed pathologies in the cases included pneumothorax, hemothorax, pulmonary contusion, l...

Postoperative pulmonary complications play an important role in the risk for patients undergoing noncardiothoracic surgery. Postoperative pulmonary complications are as prevalent as cardiac complications and contribute similarly to morbidity, mortality, and length of stay. Pulmonary complications may even be more likely than cardiac complications to predict long-term mortality after surgery. Th...