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Lobar collapse in the surgical intensive care unit
The British Journal of Radiology
|August 1, 1983
Summary
Lobar collapse occurred in 8.5% of surgical Intensive Care Unit patients. Left lower lobe collapse was most common, though the reasons for this predominance remain unclear.
Area of Science:
- Medicine
- Radiology
- Critical Care
Background:
- Lobar collapse is a known complication in Intensive Care Units (ICUs).
- The specific incidence and distribution of lobar collapse in surgical ICU populations require further elucidation.
Purpose of the Study:
- To determine the incidence of lobar collapse in surgical ICU patients.
- To identify the most commonly affected lobes in this patient group.
Main Methods:
- Retrospective review of chest X-rays from 200 consecutive surgical ICU patients.
- Diagnosis of lobar collapse based on radiographic findings with high certainty.
Main Results:
- Eighteen cases of lobar collapse were diagnosed in 17 patients (8.5% incidence).
- The left lower lobe was the most frequent site (66%), followed by the right lower lobe (22%) and right upper lobe (11%).
Conclusions:
- Lobar collapse is a significant finding in surgical ICU patients, with a notable predilection for the left lower lobe.
- The underlying mechanisms for the observed predominance of left lower lobe collapse in general ICU patients, beyond cardiac surgery, warrant further investigation.