Atelectasis: mechanisms, diagnosis and management.

Abstract:

:The term atelectasis describes a state of collapsed and non-aerated region of the lung parenchyma, which is otherwise normal. This pathological condition is usually associated with several pulmonary and chest disorders and represents a manifestation of the underlying disease, not a disease per se. Atelectasis may occur in three ways: (i) airway obstruction; (ii) compression of parenchyma by extrathoracic, intrathoracic, chest wall processes; and (iii) increased surface tension in alveoli and bronchioli. Chest radiographs using both the anterior-posterior and lateral projections are mandatory to document the presence of atelectasis. Differentiation from lobar consolidation may be a clinical dilemma. The treatment of atelectasis varies depending on duration and severity of the causal disease from chest physiotherapy to postural drainage, bronchodilator and anti-inflammatory therapy. Persistent mucous plugs should be removed by bronchoscopy.

journal_name

Paediatr Respir Rev

authors

Peroni DG,Boner AL

doi

10.1053/prrv.2000.0059

keywords:

subject

Has Abstract

pub_date

2000-09-01 00:00:00

pages

274-8

issue

3

eissn

1526-0542

issn

1526-0550

pii

S1526-0542(00)90059-9

journal_volume

1

pub_type

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