Treatment of atelectasis: where is the evidence?

Abstract:

:Lobar atelectasis is a common problem caused by a variety of mechanisms including resorption atelectasis due to airway obstruction, passive atelectasis from hypoventilation, compressive atelectsis from abdominal distension and adhesive atelectasis due to increased surface tension. However, evidence-based studies on the management of lobar atelectasis are lacking. Examination of air-bronchograms on a chest radiograph may be helpful to determine whether proximal or distal airway obstruction is involved. Chest physiotherapy, nebulised DNase and possibly fibreoptic bronchoscopy might be helpful in patients with mucous plugging of the airways. In passive and adhesive atelectasis, positive end-expiratory pressure might be a useful adjunct to treatment.

journal_name

Crit Care

authors

Schindler MB

doi

10.1186/cc3766

keywords:

subject

Has Abstract

pub_date

2005-08-01 00:00:00

pages

341-2

issue

4

eissn

1364-8535

issn

1466-609X

pii

cc3766

journal_volume

9

pub_type

评论,杂志文章
  • Diagnostic value of neutrophil gelatinase-associated lipocalin, cystatin C, and soluble triggering receptor expressed on myeloid cells-1 in critically ill patients with sepsis-associated acute kidney injury.

    abstract:INTRODUCTION:Neutrophil gelatinase-associated lipocalin (NGAL), cystatin C (Cys-C), and soluble triggering receptor expressed on myeloid cells-1 (sTREM-1) are novel diagnostic biomarkers of acute kidney injury (AKI). We aimed to determine the diagnostic properties of these biomarkers for detecting AKI in critically ill...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/s13054-015-0941-6

    authors: Dai X,Zeng Z,Fu C,Zhang S,Cai Y,Chen Z

    更新日期:2015-05-06 00:00:00

  • Diagnosis and management of inhalation injury: an updated review.

    abstract::In this article we review recent advances made in the pathophysiology, diagnosis, and treatment of inhalation injury. Historically, the diagnosis of inhalation injury has relied on nonspecific clinical exam findings and bronchoscopic evidence. The development of a grading system and the use of modalities such as chest...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,评审

    doi:10.1186/s13054-015-1077-4

    authors: Walker PF,Buehner MF,Wood LA,Boyer NL,Driscoll IR,Lundy JB,Cancio LC,Chung KK

    更新日期:2015-10-28 00:00:00

  • Give or take? Intravenous immunoglobulin or plasma exchange for Guillain-Barré syndrome.

    abstract::A new randomised controlled trial suggested that plasma exchange hastened removal from the ventilator in mechanically ventilated children with Guillain-Barré syndrome compared with intravenous immunoglobulin. Two larger trials in adults showed the opposite result. ...

    journal_title:Critical care (London, England)

    pub_type: 评论,杂志文章

    doi:10.1186/cc10312

    authors: Hughes RA

    更新日期:2011-07-28 00:00:00

  • Alarms in the intensive care unit: how can the number of false alarms be reduced?

    abstract::Many alarms, as they now exist in most monitoring systems, are not usually perceived as helpful by the medical staff because of the high incidence of false alarms. This paper gives an overview of the problems related to their current design and the objectives of monitoring. The current approaches used to improve the s...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,评审

    doi:10.1186/cc1021

    authors: Chambrin MC

    更新日期:2001-08-01 00:00:00

  • Bench-to-bedside review: potential strategies to protect or reverse mitochondrial dysfunction in sepsis-induced organ failure.

    abstract::The pathogenesis of sepsis-induced multiple organ failure may crucially depend on the development of mitochondrial dysfunction and consequent cellular energetic failure. According to this hypothesis, interventions aimed at preventing or reversing mitochondrial damage may have major clinical relevance, although the tim...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,评审

    doi:10.1186/cc5014

    authors: Protti A,Singer M

    更新日期:2006-01-01 00:00:00

  • Results from the national sepsis practice survey: predictions about mortality and morbidity and recommendations for limitation of care orders.

    abstract:INTRODUCTION:Critically ill patients and families rely upon physicians to provide estimates of prognosis and recommendations for care. Little is known about patient and clinician factors which influence these predictions. The association between these predictions and recommendations for continued aggressive care is als...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc7926

    authors: O'Brien JM Jr,Aberegg SK,Ali NA,Diette GB,Lemeshow S

    更新日期:2009-01-01 00:00:00

  • The evolving story of medical emergency teams in quality improvement.

    abstract::Adverse events affect approximately 3% to 12% of hospitalized patients. At least a third, but as many as half, of such events are considered preventable. Detection of these events requires investments of time and money. A report in a recent issue of Critical Care used the medical emergency team activation as a trigger...

    journal_title:Critical care (London, England)

    pub_type: 评论,杂志文章

    doi:10.1186/cc8033

    authors: Amaral AC,Shojania KG

    更新日期:2009-01-01 00:00:00

  • Serum neutrophil gelatinase-associated lipocalin at inception of renal replacement therapy predicts survival in critically ill patients with acute kidney injury.

    abstract:INTRODUCTION:Neutrophil gelatinase-associated lipocalin (NGAL) is a promising novel biomarker that correlates with the severity and outcome of acute kidney injury (AKI). However, its prognostic utility during the late course of AKI, especially in patients that require renal replacement therapy (RRT) remains unknown. Th...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc8861

    authors: Kümpers P,Hafer C,Lukasz A,Lichtinghagen R,Brand K,Fliser D,Faulhaber-Walter R,Kielstein JT

    更新日期:2010-01-01 00:00:00

  • Why the C-statistic is not informative to evaluate early warning scores and what metrics to use.

    abstract::Metrics typically used to report the performance of an early warning score (EWS), such as the area under the receiver operator characteristic curve or C-statistic, are not useful for pre-implementation analyses. Because physiological deterioration has an extremely low prevalence of 0.02 per patient-day, these metrics ...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/s13054-015-0999-1

    authors: Romero-Brufau S,Huddleston JM,Escobar GJ,Liebow M

    更新日期:2015-08-13 00:00:00

  • Potential confounders for the effect of high-flow nasal cannula oxygen therapy.

    abstract:: ...

    journal_title:Critical care (London, England)

    pub_type: 评论,信件

    doi:10.1186/s13054-019-2310-3

    authors: Yamaga S,Ohshimo S,Shime N

    更新日期:2019-01-17 00:00:00

  • The International Sepsis Forum's controversies in sepsis: corticosteroids should be used to treat septic shock.

    abstract::The use of corticosteroids in septic shock remains controversial. It has been demonstrated that high doses of steroids (30 mg/kg methylprednisolone) for short periods of time are not beneficial. More recent studies using smaller doses (200-300 mg/day hydrocortisone) for longer periods of time have shown beneficial eff...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,评审

    doi:10.1186/cc1537

    authors: Goodman S,Sprung CL,International Sepsis Forum.

    更新日期:2002-10-01 00:00:00

  • Microcirculatory alterations induced by sedation in intensive care patients. Effects of midazolam alone and in association with sufentanil.

    abstract:INTRODUCTION:Sedation is widely used in intensive care unit (ICU) patients to limit the risk of pulmonary barotrauma and to decrease oxygen needs. However, adverse effects of cc5128sedation have not been fully evaluated; in particular, effects of benzodiazepine and opiates on microcirculation have not been extensively ...

    journal_title:Critical care (London, England)

    pub_type: 临床试验,杂志文章

    doi:10.1186/cc5128

    authors: Lamblin V,Favory R,Boulo M,Mathieu D

    更新日期:2006-01-01 00:00:00

  • Antiepileptic drugs in critically ill patients.

    abstract:BACKGROUND:The incidence of seizures in intensive care units ranges from 3.3% to 34%. It is therefore often necessary to initiate or continue anticonvulsant drugs in this setting. When a new anticonvulsant is initiated, drug factors, such as onset of action and side effects, and patient factors, such as age, renal, and...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,评审

    doi:10.1186/s13054-018-2066-1

    authors: Farrokh S,Tahsili-Fahadan P,Ritzl EK,Lewin JJ 3rd,Mirski MA

    更新日期:2018-06-07 00:00:00

  • Development of antibiotic treatment algorithms based on local ecology and respiratory surveillance cultures to restrict the use of broad-spectrum antimicrobial drugs in the treatment of hospital-acquired pneumonia in the intensive care unit: a retrospecti

    abstract:INTRODUCTION:Timely administration of appropriate antibiotic therapy has been shown to improve outcome in hospital-acquired pneumonia (HAP). Empirical treatment guidelines tailored to local ecology have been advocated in antibiotic stewardship programs. We compared a local ecology based algorithm (LEBA) to a surveillan...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc13990

    authors: De Bus L,Saerens L,Gadeyne B,Boelens J,Claeys G,De Waele JJ,Benoit DD,Decruyenaere J,Depuydt PO

    更新日期:2014-07-15 00:00:00

  • Early versus standard initiation of renal replacement therapy in furosemide stress test non-responsive acute kidney injury patients (the FST trial).

    abstract:BACKGROUND:The timing of initiation of renal replacement therapy (RRT) in severe acute kidney injury (AKI) remains controversial, with early initiation resulting in unnecessary therapy for some patients while expectant therapy may delay RRT for other patients. The furosemide stress test (FST) has been shown to predict ...

    journal_title:Critical care (London, England)

    pub_type: 临床试验,杂志文章

    doi:10.1186/s13054-018-2021-1

    authors: Lumlertgul N,Peerapornratana S,Trakarnvanich T,Pongsittisak W,Surasit K,Chuasuwan A,Tankee P,Tiranathanagul K,Praditpornsilpa K,Tungsanga K,Eiam-Ong S,Kellum JA,Srisawat N,FST Study Group.

    更新日期:2018-04-19 00:00:00

  • Clinical review: Tokyo - protecting the health care worker during a chemical mass casualty event: an important issue of continuing relevance.

    abstract::Determine the effectiveness of decontamination, and perform thorough dry or wet decontamination, depending on the circumstances. Always remain cognizant of the fact that, even after decontamination has been completed, contamination may not have been completely eliminated. Perform periodic monitoring to determine wheth...

    journal_title:Critical care (London, England)

    pub_type: 历史文章,杂志文章,评审

    doi:10.1186/cc3062

    authors: Okumura S,Okumura T,Ishimatsu S,Miura K,Maekawa H,Naito T

    更新日期:2005-08-01 00:00:00

  • A systematic review of biomarkers multivariately associated with acute respiratory distress syndrome development and mortality.

    abstract:BACKGROUND:Heterogeneity of acute respiratory distress syndrome (ARDS) could be reduced by identification of biomarker-based phenotypes. The set of ARDS biomarkers to prospectively define these phenotypes remains to be established. OBJECTIVE:To provide an overview of the biomarkers that were multivariately associated ...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/s13054-020-02913-7

    authors: van der Zee P,Rietdijk W,Somhorst P,Endeman H,Gommers D

    更新日期:2020-05-24 00:00:00

  • Role of angiotensin-converting enzyme 2 (ACE2) in COVID-19.

    abstract::An outbreak of pneumonia caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) that started in Wuhan, China, at the end of 2019 has become a global pandemic. Both SARS-CoV-2 and SARS-CoV enter host cells via the angiotensin-converting enzyme 2 (ACE2) receptor, which is expressed in various human organ...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,评审

    doi:10.1186/s13054-020-03120-0

    authors: Ni W,Yang X,Yang D,Bao J,Li R,Xiao Y,Hou C,Wang H,Liu J,Yang D,Xu Y,Cao Z,Gao Z

    更新日期:2020-07-13 00:00:00

  • Targeting the programmed cell death 1: programmed cell death ligand 1 pathway reverses T cell exhaustion in patients with sepsis.

    abstract:INTRODUCTION:A major pathophysiologic mechanism in sepsis is impaired host immunity which results in failure to eradicate invading pathogens and increased susceptibility to secondary infections. Although many immunosuppressive mechanisms exist, increased expression of the inhibitory receptor programmed cell death 1 (PD...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc13176

    authors: Chang K,Svabek C,Vazquez-Guillamet C,Sato B,Rasche D,Wilson S,Robbins P,Ulbrandt N,Suzich J,Green J,Patera AC,Blair W,Krishnan S,Hotchkiss R

    更新日期:2014-01-04 00:00:00

  • Intensive insulin treatment improves forearm blood flow in critically ill patients: a randomized parallel design clinical trial.

    abstract:INTRODUCTION:Intensive insulin treatment of critically ill patients was seen as a promising method of treatment, though recent studies showed that reducing the blood glucose level below 6 mmol/l had a detrimental outcome. The mechanisms of the effects of insulin in the critically ill are not completely understood. The ...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,随机对照试验

    doi:10.1186/cc8202

    authors: Žuran I,Poredos P,Skale R,Voga G,Gabrscek L,Pareznik R

    更新日期:2009-01-01 00:00:00

  • Near-infrared spectroscopy for assessing tissue oxygenation and microvascular reactivity in critically ill patients: a prospective observational study.

    abstract:BACKGROUND:Impaired microcirculatory perfusion and tissue oxygenation during critical illness are associated with adverse outcome. The aim of this study was to detect alterations in tissue oxygenation or microvascular reactivity and their ability to predict outcome in critically ill patients using thenar near-infrared ...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/s13054-016-1500-5

    authors: Donati A,Damiani E,Domizi R,Scorcella C,Carsetti A,Tondi S,Monaldi V,Adrario E,Romano R,Pelaia P,Singer M

    更新日期:2016-10-01 00:00:00

  • Urinary output and fractional excretion of sodium and urea as indicators of transient versus intrinsic acute kidney injury during early sepsis.

    abstract:INTRODUCTION:The pathophysiology of acute kidney injury (AKI) in sepsis is ill defined. We investigated parameters associated with low glomerular filtration, and their predictive value to discriminate transient from intrinsic septic AKI. METHODS:In 107 sepsis patients, AKI was defined by the Risk, Injury, Failure, Los...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc13057

    authors: Vanmassenhove J,Glorieux G,Hoste E,Dhondt A,Vanholder R,Van Biesen W

    更新日期:2013-10-13 00:00:00

  • Invasive ventilation modes in children: a systematic review and meta-analysis.

    abstract:INTRODUCTION:The purpose of the present study was to critically review the existing body of evidence on ventilation modes for infants and children up to the age of 18 years. METHODS:The PubMed and EMBASE databases were searched using the search terms 'artificial respiration', 'instrumentation', 'device', 'devices', 'm...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,meta分析,评审

    doi:10.1186/cc9969

    authors: Duyndam A,Ista E,Houmes RJ,van Driel B,Reiss I,Tibboel D

    更新日期:2011-01-01 00:00:00

  • Dynamic arterial elastance as a predictor of arterial pressure response to fluid administration: a validation study.

    abstract:INTRODUCTION:Functional assessment of arterial load by dynamic arterial elastance (Eadyn), defined as the ratio between pulse pressure variation (PPV) and stroke volume variation (SVV), has recently been shown to predict the arterial pressure response to volume expansion (VE) in hypotensive, preload-dependent patients....

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/s13054-014-0626-6

    authors: García MI,Romero MG,Cano AG,Aya HD,Rhodes A,Grounds RM,Cecconi M

    更新日期:2014-11-19 00:00:00

  • Perioperative blood transfusion is associated with a gene transcription profile characteristic of immunosuppression: a prospective cohort study.

    abstract:INTRODUCTION:Blood transfusion in the perioperative period has frequently been associated with an excess of nosocomial infections. Whilst transfused whole blood induces specific host immune alteration that may predispose to nosocomial infections, the immunomodulating properties associated with leukodepleted blood remai...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/s13054-014-0541-x

    authors: Fragkou PC,Torrance HD,Pearse RM,Ackland GL,Prowle JR,Owen HC,Hinds CJ,O'Dwyer MJ

    更新日期:2014-10-01 00:00:00

  • Influence of insulin on glucose metabolism and energy expenditure in septic patients.

    abstract:INTRODUCTION:It is recognized that administration of insulin with glucose decreases catabolic response in sepsis. The aim of the present study was to compare the effects of two levels of insulinaemia on glucose metabolism and energy expenditure in septic patients and volunteers. METHODS:Glucose uptake, oxidation and s...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc2868

    authors: Rusavy Z,Sramek V,Lacigova S,Novak I,Tesinsky P,Macdonald IA

    更新日期:2004-08-01 00:00:00

  • Renal haemodynamic, microcirculatory, metabolic and histopathological responses to peritonitis-induced septic shock in pigs.

    abstract:INTRODUCTION:Our understanding of septic acute kidney injury (AKI) remains incomplete. A fundamental step is the use of animal models designed to meet the criteria of human sepsis. Therefore, we dynamically assessed renal haemodynamic, microvascular and metabolic responses to, and ultrastructural sequelae of, sepsis in...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc7164

    authors: Chvojka J,Sykora R,Krouzecky A,Radej J,Varnerova V,Karvunidis T,Hes O,Novak I,Radermacher P,Matejovic M

    更新日期:2008-01-01 00:00:00

  • The E3 ubiquitin ligase TRIM62 and inflammation-induced skeletal muscle atrophy.

    abstract:INTRODUCTION:ICU-acquired weakness (ICUAW) complicates the disease course of critically ill patients. Inflammation and acute-phase response occur directly within myocytes and contribute to ICUAW. We observed that tripartite motif-containing 62 (TRIM62), an E3 ubiquitin ligase and modifier of inflammation, is increased ...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/s13054-014-0545-6

    authors: Schmidt F,Kny M,Zhu X,Wollersheim T,Persicke K,Langhans C,Lodka D,Kleber C,Weber-Carstens S,Fielitz J

    更新日期:2014-09-29 00:00:00

  • Liver transplantation in the critically ill: a multicenter Canadian retrospective cohort study.

    abstract:INTRODUCTION:Critically ill cirrhosis patients awaiting liver transplantation (LT) often receive prioritization for organ allocation. Identification of patients most likely to benefit is essential. The purpose of this study was to examine whether the Sequential Organ Failure Assessment (SOFA) score can predict 90-day m...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章,多中心研究

    doi:10.1186/cc12508

    authors: Karvellas CJ,Lescot T,Goldberg P,Sharpe MD,Ronco JJ,Renner EL,Vahidy H,Poonja Z,Chaudhury P,Kneteman NM,Selzner M,Cook EF,Bagshaw SM,Canadian Liver Failure Study Group.

    更新日期:2013-02-09 00:00:00

  • Pulmonary artery catheter versus pulse contour analysis: a prospective epidemiological study.

    abstract:INTRODUCTION:The choice of invasive systemic haemodynamic monitoring in critically ill patients remains controversial as no multicentre comparative clinical data exist. Accordingly, we sought to study and compare the features and outcomes of patients who receive haemodynamic monitoring with either the pulmonary artery ...

    journal_title:Critical care (London, England)

    pub_type: 杂志文章

    doi:10.1186/cc5126

    authors: Uchino S,Bellomo R,Morimatsu H,Sugihara M,French C,Stephens D,Wendon J,Honore P,Mulder J,Turner A,PAC\/PiCCO Use and Likelihood of Success Evaluation PULSE Study Group.

    更新日期:2006-01-01 00:00:00