Atelectasis
- PMID: 31424900
- Bookshelf ID: NBK545316
Atelectasis
Excerpt
The word atelectasis originates from Greek, combining ateles and ektasis, thus translating to "incomplete expansion." The concept was first introduced by German physician Eduard Jörg in 1832 in his work De morbo pulmonum organico ex respiratione neonatorum imperfecta orto. Atelectasis occurs due to the partial or complete, reversible collapse of the small airways, resulting in impaired exchange of CO2 and O2, causing an intrapulmonary shunt (perfusion without ventilation). The incidence of atelectasis in patients undergoing general anesthesia can be as high as 90%, underscoring its clinical significance.
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Sections
- Continuing Education Activity
- Introduction
- Etiology
- Epidemiology
- Pathophysiology
- History and Physical
- Evaluation
- Treatment / Management
- Differential Diagnosis
- Prognosis
- Complications
- Postoperative and Rehabilitation Care
- Deterrence and Patient Education
- Enhancing Healthcare Team Outcomes
- Review Questions
- References
References
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- Peroni DG, Boner AL. Atelectasis: mechanisms, diagnosis and management. Paediatr Respir Rev. 2000 Sep;1(3):274-8. - PubMed
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- Magnusson L, Spahn DR. New concepts of atelectasis during general anaesthesia. Br J Anaesth. 2003 Jul;91(1):61-72. - PubMed
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- Gunnarsson L, Tokics L, Gustavsson H, Hedenstierna G. Influence of age on atelectasis formation and gas exchange impairment during general anaesthesia. Br J Anaesth. 1991 Apr;66(4):423-32. - PubMed