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Alveolar Rupture


Presentation

  • Focus on the practical guidance you need with the aid of a new, more templated format in which basic science content has been integrated within clinical chapters, and all procedural content has been streamlined for online presentation and paired with[books.google.com]
  • Make the most of your limited time with easy-to-digest blocks of information, consistently presented for clear readability and quick reference.[books.google.com]
  • Like all materials presented on this site, this paper is presented for information only. It should not be considered medical advice or treatment.[thoracics.org]
  • On physical examination, crepitus (subcutaneous emphysema) is commonly present in the chest wall or neck.[clinicaladvisor.com]
  • An X ray of the chest is the test that absolutely confirms that a pneumothorax or pneumomediastinum is present. It can also provide some information as to how much air and compression on the lungs has occurred.[mybabies1.blogspot.com]
Hemophilia A
  • Stay up to date with new chapters on Clotting Disorders and Hemophilia, Patient-Centered Care, Health Disparities and Diversity in Emergency Medicine, Cost-Effectiveness Analysis, Antibiotic Recommendations for Empirical Treatment of Selected Infectious[books.google.com]
Surgical Procedure
  • Categories: Patient education, Surgical procedures Tagged as: bleb resection, blebectomy, blebs, catamenial pneumothorax, chemical pleurodesis, linkedin, patient education and discussion, spontaneous pneumothorax, talc pleurodesis, VATs[thoracics.org]
Multiple Organ Dysfunction Syndrome
Neck Swelling
  • The patient may remain asymptomatic or may have symptoms such as chest pain, dyspnea, dysphagia, dysphonia, coughing, and/or neck swelling. Our patient had neck swelling and dysphagia after coughing.[mjdrdypu.org]
Irritability
  • Furthermore, it has been shown experimentally that exposure to cigarette smoke produces marked changes in the vascular system of the lungs of rats. 3 This led us to suspect that the lung parenchyma of human beings might be directly affected by chronic irritation[nejm.org]
  • Irritating microbubbles can then cause vasospasm, with resulting neurological damage or myocardial infarction .[alpfmedical.info]
  • Therefore, we cannot rule out the possibility of spontaneous rupture due to increased intra-thoracic pressure caused by irritation during the postoperative recovery.[e-aps.org]
  • Chemical pleurodesis is the instillation of either sterile talc or erythromycin to produce irritation or inflammation of the pleura.[thoracics.org]
  • Someone who has upper airway irritation as a result of post-nasal drainage (which I often have for WEEKS after an upper respiratory infection) is at higher risk for reverse block and sinus damage than from pulmonary overexpansion injury.[scubaboard.com]
Encephalopathy
  • Keep current with the latest developments in palliative care, mass casualty/epidemic disease, acute respiratory failure, non-invasive ventilation, neurocritical care, neuroimaging, hypoxic-ischemic encephalopathy, stroke and intracerebral hemorrhage,[books.google.com]

Workup

  • Thus, patients without (1) fever 38 C; (2) oxygen desaturation Thus, a better understanding of this condition would have avoided unnecessary irradiation of this young woman (the only workup the patient needed was a simple Chest X-ray Study).[link.springer.com]
Pericardial Effusion

Treatment

  • Get clear, concise descriptions and evidence-based treatment guidelines for a full range of clinical conditions, ranging from the common to the unusual.[books.google.com]
  • […] and practicing pulmonologists who need an authoritative, comprehensive reference on all aspects of pulmonary medicine, Murray and Nadel’s Textbook of Respiratory Medicine offers the most definitive content on basic science, diagnosis, evaluation and treatment[books.google.com]
  • Focus on the development, function, and treatment of a wide range of disease entities with the text’s clear, logical, organ-system approach.[books.google.com]
  • Effective secretion clearance, treatment of infection, and, most importantly, reduction of airway pressure are fundamental to management.[alpfmedical.info]

Prognosis

  • The prognosis is much better for babies weighing over 1500 g. Prevention Antenatal corticosteroids (dexamethasone) accelerate fetal surfactant production and lung maturation.[patient.info]
  • Prognosis If an infant born with RDS is not promptly treated, lack of an adequate oxygen supply will damage the body's organs and eventually cause them to stop functioning altogether. Death is the result.[healthofchildren.com]
  • Prognosis Up to 50% of patients who suffer from a pneumothorax will have another or a recurring pneumothorax. However, there are no long-term complications after successful treatment.[physio-pedia.com]
  • What is the prognosis for patients managed in the recommended ways? The majority of cases of pneumomediastinum are self-limited and resolve without invasive therapeutic measures.[clinicaladvisor.com]

Etiology

  • Patients with secondary causes of pneumomediastinum usually present with a history that readily suggests an etiology of prior trauma or procedural instrumentation.[clinicaladvisor.com]
  • Wintermark M, Schnyder P (2001) The Macklin effect: a frequent etiology for pneumomediastinum in severe blunt chest trauma. Chest 120:543–547 CrossRef PubMed Google Scholar 4.[link.springer.com]
  • Joannides M, Tsoulsos GD: The etiology of interstitial and mediastinal emphysema. Arch Surg 1930; 21:333-339. 11.[ispub.com]

Epidemiology

  • LeFlore PhD, RN, NNP-BC, CPNP-AC & PC, ANEF Page 2 Left-sided PIE Epidemiology Increased incidence Resuscitation at birth Respiratory distress syndrome Meconium aspiration syndrome Pulmonary hypoplasia Treatment with mechanical ventilation Decreased incidence[elearn.uta.edu]
  • Epidemiology The incidence and severity are related inversely to the gestational age of the infant. It affects approximately one half of infants born at 28-32 weeks of gestation. It may (rarely) occur at term.[patient.info]
Sex distribution
Age distribution

Pathophysiology

  • History and etymology The pathophysiologic process was first proposed by C C Macklin in 1939 2. Promoted articles (advertising)[radiopaedia.org]
  • Resuscitation at birth Respiratory distress syndrome Meconium aspiration syndrome Pulmonary hypoplasia Treatment with mechanical ventilation Decreased incidence Ventilation strategies that minimize barotrauma and volutrauma Surfactant replacement therapy Pathophysiology[elearn.uta.edu]
  • The specific pathophysiology and manifestations vary depending on cause.[merckmanuals.com]
  • The pathophysiology was demonstrated by Macklin in animal studies 4 ).[kjim.org]
  • Pneumomediastinum in pregnancy: Two case reports and a review of the literature, pathophysiology, and management. Obstet Gynecol 1984;64:39S-43. [ PUBMED ] 4. Yellin A, Gapany-Gapanavicius M, Lieberman Y.[mjdrdypu.org]

Prevention

  • The results confirm the intimate relationship of pulmonary barotrauma, as reflected by the occurrence of alveolar rupture during positive pressure inflation of the lungs, to the subsequent development of bronchopulmonary dysplasia and that prevention[ncbi.nlm.nih.gov]
  • Measurement of C-reactive protein for the targeting of statin therapy in the primary prevention of acute coronary events. ‏ الصفحة 254 - At constant temperature, the volume of a gas is inversely proportional to the pressure upon it. ‏[books.google.com]
  • The amount of atelectasis, pulmonary congestion or obstruction that prevents expansion of lung is clinically not quantitatively measurable, so that no exact rule for time and pressures can be established that will be completely safe.[pediatrics.aappublications.org]
  • Prevention of injury to the cervical fascia during facial bone contouring surgery should be the first priority.[e-aps.org]
  • Prevention The best way of preventing RDS is to delay delivery until the fetal lungs have matured and are producing enough surfactant, generally at about 37 weeks of pregnancy.[healthofchildren.com]

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