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Published on: September 7, 2016
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Acute Lobar Atelectasis.
1Pulmonary & Critical Care Medicine Divisions, Regions Hospital & University of Minnesota, Minneapolis/St. Paul, MN.
Chest
|December 12, 2018
Summary
Lobar atelectasis, a common complication of illness and surgery, can be diagnosed with imaging. Understanding its causes helps in preventing and treating lung collapse.
Area of Science:
- Pulmonology
- Critical Care Medicine
Background:
- Lobar atelectasis is a frequent complication in acute illness, post-surgery, and chronic conditions.
- It is predictable and can lead to pathogenic consequences.
Purpose of the Study:
- To provide a mechanistic understanding of lobar atelectasis causation.
- To outline logical approaches for prophylaxis and treatment.
Main Methods:
- Diagnosis using routine chest imaging and bedside ultrasound.
- Assessment of factors influencing severity: extent, mechanism, patient vulnerability, onset, hypoxic vasoconstriction, and compensatory reserves.
Main Results:
- Lobar collapse consequences range from minor to serious.
- Effective management strategies include reducing secretions, ensuring clearance, maintaining upright posture, reversing compression, and sustaining lung expansion.
Conclusions:
- A thorough understanding of lobar atelectasis mechanisms informs classification and treatment strategies.
- Prophylaxis and treatment are guided by physiological rationale.
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