12 day male patient followed with supracardiac total anomalous pulmonary venous connection (TAPVC) was admitted to our service after one of surgical repair .The extubation attempts failed three times because the atelectasis occurred in lungs. As conventional therapy improve Atelectasis, dornase alpha tested via intubation cannula . It avoided recurrence and discharged no oxygen

BACKGROUND Atelectasis is commonly encountered in patients undergoing rectus abdominus tissue transfer. Primary closure of the anterior rectus sheath may contribute to this process. Augmentation of the closure with mesh may decrease the incidence of Atelectasis. METHODS In this retrospective review 32 patients with preoperative and postoperative augmentation were compared to 23 who had primar...

Formation of atelectasis is one mechanism of impaired gas exchange during general anaesthesia. We have studied manoeuvres to re-expand such atelectasis in 16 consecutive, anaesthetized adults with healthy lungs. In group 1 (10 patients), the lungs were inflated stepwise to an airway pressure (Paw) of 10, 20, 30 and 40 cm H2O. In group 2 (six patients), three repeated inflations up to Paw = 30 c...

Fiberoptic bronchoscopy has become a commonplace procedure in ICUs. Despite the fact that one of the most common indications for bronchoscopy is the presence of retained secretions and atelectasis, there is little research dedicated to its safety and utility in this clinical situation. This article presents a case of an intubated trauma victim who had undergone numerous bronchoscopic procedures...

BACKGROUND Following preoxygenation and induction of anaesthesia, most patients develop atelectasis. We hypothesized that an immediate restoration to a low oxygen level in the alveoli would prevent atelectasis formation and improve oxygenation during the ensuing anaesthesia. METHODS We randomly assigned 24 patients to either a control group (n = 12) or an intervention group (n = 12) receiving...

ATELECTASIS (COLLAPSE) is loss of lung volume caused by inadequate expansion of airspaces; this leads to shunting of inadequately oxygenated blood from pulmonary arteries into veins, thus giving rise to hypoxia. Pathogenetically atelectasis is classified into three forms 1. Resorption atelectasis complicating obstruction. The air already present distally gradually becomes absorbed, and alveolar...

Positive end-expiratory pressure (PEEP) has been extensively utilized in the treatment of severe hypoxemia from noncardiogenic pulmonary edema. The usefulness of therapy with PEEP in the management of lobar atelectasis has not been previously stressed. Recently, we observed four patients with lobar atelectasis who failed to respond to the usual conservative measures of endotracheal suctioning a...

Edmark, L. 2013. Reducing Atelectasis during General Anaesthesia – the Importance of Oxygen Concentration, End-Expiratory Pressure and Patient Factors. A Clinical Study Exploring the Prevention of Atelectasis in Adults. Digital Comprehensive Summaries of Uppsala Dissertations from the Faculty of Medicine 954. 59 pp. Uppsala: Acta Universitatis Upsaliensis. ISBN 978-91-554-8808-6. Background: Th...

A 25-year-old female presented with sudden-onset dyspnoea. A chest X-ray showed total atelectasis on the left haemithorax (Fig. 1). A chest computed tomography (CT) revealed a cystic mass in the posterior mediastinum that compressed the left main bronchus (Fig. 2). Pathological examination confirmed a broncho-genic cyst in the posterior mediastinum. Figure 1: Chest X-ray showing total atelectas...