eISSN: 1897-4252
ISSN: 1731-5530
Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery
Current issue Archive Manuscripts accepted About the journal Supplements Editorial board Reviewers Abstracting and indexing Contact Instructions for authors Ethical standards and procedures
Editorial System
Submit your Manuscript
SCImago Journal & Country Rank
Search
1/2008
vol. 5
 
Share:
Send email
Share:
abstract:


Anestezjologia i intensywna terapia
Acute lung injury after pulmonary resection

Katarzyna Rutkowska
,
Grzegorz Wojciechowski
,
Hanna Misiołek

Kardiochirurgia i Torakochirurgia Polska 2008; 5 (1): 47–51
Online publish date: 2008/03/20
View full text Get citation
 
Acute lung injury (ALI) after lung resection is a rare form of acute respiratory failure characterized by dyspnoea, hypoxaemia, diffuse infiltrates on chest radiogram, and rapid evolution often unresponsive to conventional therapy. ALI occurs almost exclusively following pneumonectomy without a preceding cause. Factors implicated in its pathogenesis include excessive fluid administration, lung injury during one-lung ventilation due to alveolar hyperinflation and toxic action of oxygen, right pneumonectomy and impaired lymph drainage. Mortality is high. There is no specific therapy. Suggested management of patients during thoracic surgery and perioperatively includes judicious fluid restriction, lung-protective ventilation by the limitation of ventilatory volumes and pressures and alternative techniques of ventilation such as high-frequency jet ventilation.
keywords:

lung injury, pneumonectomy, one-lung ventilation
Termedia
About us Contact
Copyright notice Privacy policy Advertising policy Contact us
Quick links
Journals Books eBooks Events
© 2024 Termedia Sp. z o.o.
Developed by Bentus.