2012, Number 3
<< Back Next >>
Med Sur 2012; 19 (3)
Atelectasia completa izquierda (el moco asesino)
Carrillo-Esper R, Garnica-Escamilla MA, Ferrusquia-Toriz DL, Carrillo-Córdova LD, Carrillo-Córdova CA, Carrillo-Córdova DM, Villena-López EL
Language: Spanish
References: 12
Page: 187-189
PDF size: 418.77 Kb.
ABSTRACT
The total lung atelectasis is an uncommon complication observed
in critically ill patients, secondary to the obstruction of the main
bronchus, caused by adherent secretions, resulting in a difficult
aspiration. Continuous clinical examination and a high clinical suspicion
are important for the diagnosis and treatment of this complication.
The treatment of this complication is bronchoscopy.
REFERENCES
Olopade CO, Prakash UB. Bronchoscopy in the critical care unit. Mayo Clin Proc 1989; 64: 1255-63.
Bowen TE, Fishback ME, Green DC. Treatment of refractory atelectasis. Ann Thorac Surg 1974; 18: 584-9.
Millen JE, Vandree J, Glauser FL. Fiberoptic bronchoscopic balloon occlusion and reexpansion of refractory unilateral atelectasis. Crit Care Med 1978; 6: 50-5.
Harada K, Mutsuda T, Saoyama N. Re-expansion of refractory atelectasis using a bronchoscope with a balloon cuff. Chest 1983; 84: 725-8.
Kreider ME, Lipson DA. Bronchoscopy for Atelectasis in the ICU. Chest 2003; 124; 344-50.
Bendixen HH, Hedley-Whyte J, Chir B, Laver MB Impaired oxygenation in surgical patients during general anesthesia with controlled ventilation. N Engl J Med 1963; 269: 991-6.
Magnusson L, Spahn DR. New concepts of atelectasis during general anesthesia. Br J Anaesth 2003; 91: 61-72.
Duggan M, Kavanagh BP. Pulmonary Atelectasis. A Pathogenic Perioperative Entity. Anesthesiology 2005; 102: 838-54.
Rusca M, Proietti S. Prevention of Atelectasis Formation During Induction of General Anesthesia. Anesth Analg 2003; 97: 1835-9.
Benoit Z, Wicky S. The Effect of Increased FIO2 Before Tracheal Extubation on Postoperative Atelectasis. Anesth Analg 2002; 95: 1777-81.
Kaam A, Lachmann R. Reducing atelectasis attenuates bacterial growth and translocation in experimental pneumonia. Am J Respir Crit Care Med 2004; 169: 1046-53.
Chen YC, Wu LF, Mu PF, Lin LH, Chou SS, Shie. Using chest vibration nursing intervention to improve expectoration of airway secretions and prevent lung collapse in ventilated ICU patients: a randomized controlled trial. J Chin Med Assoc 2009; 72: 316-22.