Acute lung injury after pulmonary resection.

Abstract:

:Primary Acute Lung Injury (ALI) after lung resection (or "post-pneumonectomy pulmonary edema") is a rare form of acute respiratory failure characterized by dyspnea, hypoxemia, diffuse infiltrates on chest radiogram, and rapid evolution often unresponsive to therapy. ALI occurs almost exclusively following pneumonectomy, within 3 days from surgery and without a preceding cause. Factors implicated in its pathogenesis may include excessive fluid administration, alveolar injury during one-lung ventilation, pulmonary hypertension, and impaired lymph drainage. There is no specific therapy. Suggested measures in the perioperative care include the meticulous maintenance of physiological stability, judicious fluid restriction, and the limitation of ventilatory volumes and pressures.

journal_name

Minerva Anestesiol

journal_title

Minerva anestesiologica

authors

Bigatello LM,Allain R,Gaissert HA

keywords:

subject

Has Abstract

pub_date

2004-04-01 00:00:00

pages

159-66

issue

4

eissn

0375-9393

issn

1827-1596

journal_volume

70

pub_type

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