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==Overview==
==Overview==
There are no established measures for the primary prevention of [disease name].
Judicious use of [[Anaesthetic agent|anaesthetic agents]] known to cause narcosis, use of [[epidural analgesia]] in patients with underlying [[pulmonary disease]], [[Spirometry|incentive spirometry]], early [[Walking|ambulation]], [[Humidifier Lung|humidifiers]], breathing exercises, coughing exercises and supplemental oxygen are effective measures of primary prevention in patients undergoing operative procedures, in order to prevent post operative atelectasis.
 
OR
 
There are no available vaccines against [disease name].
 
OR
 
Effective measures for the primary prevention of [disease name] include [measure1], [measure2], and [measure3].
 
OR
 
[Vaccine name] vaccine is recommended for [patient population] to prevent [disease name]. Other primary prevention strategies include [strategy 1], [strategy 2], and [strategy 3].


==Primary Prevention==
==Primary Prevention==
*There are no established measures for the primary prevention of [disease name].
*Effective measures for the primary prevention of post operative atelectasis include:<ref name="urlAtelectasis | National Heart, Lung, and Blood Institute (NHLBI)">{{cite web |url=https://www.nhlbi.nih.gov/health-topics/atelectasis |title=Atelectasis &#124; National Heart, Lung, and Blood Institute (NHLBI) |format= |work= |accessdate=}}</ref><ref name="urlAtelectasis: Prevention - National Library of Medicine - PubMed Health">{{cite web |url=https://www.ncbi.nlm.nih.gov/pubmedhealth/PMHT0022354/ |title=Atelectasis: Prevention - National Library of Medicine - PubMed Health |format= |work= |accessdate=}}</ref><ref name="pmid16137380">{{cite journal |vauthors=Schindler MB |title=Treatment of atelectasis: where is the evidence? |journal=Crit Care |volume=9 |issue=4 |pages=341–2 |date=August 2005 |pmid=16137380 |pmc=1269473 |doi=10.1186/cc3766 |url= |author=}}</ref>
*There are no available vaccines against [disease name].
**Judicious use of [[Anaesthetic agent|anaesthetic agents]] known to cause narcosis
OR
**Sparing use of [[Narcotic|narcotics]] to avoid depression of the [[cough reflex]]
*Effective measures for the primary prevention of [disease name] include:
**Use of [[epidural analgesia]] in patients with underlying [[pulmonary disease]]
**[Measure1]
**[[Spirometry|Incentive spirometry]]
**[Measure2]
**Early [[Walking|ambulation]]
**[Measure3]
**[[Humidifier Lung|Humidifiers]]
Postoperative atelectasis:
**[[Positive end-expiratory pressure]] ([[Positive end-expiratory pressure|PEEP)]]
Judicious use of anaesthetic agents known to cause narcosis
**[[Positive airway pressure|Continuous positive airway pressure]] ([[Positive airway pressure|CPAP)]]
Sparing use of narcotics to avoid depression of the cough reflex
**[[Breathing|Breathing exercises]]
Use of epidural analgesia in patients with underlying pulmonary disease is advocated
**[[Coughing|Coughing exercises]]
Incentive spirometry
**Avoidance of smoking
Early ambulation
**[[Oxygen|Supplemental oxygen]]: [[Oxygen saturation|arterial oxygen saturation]] of greater than 90%
Humidifiers
**[[Bronchodilators|Nebulized bronchodilators]]
Nebulized bronchodilators
**[[Chest physiotherapy]]: help clear secretions and improve cough in patients  
Chest physiotherapy
***Types of [[chest physiotherapy]] include:  
Patient should be instructed to inspire deeply and cough
****Postural drainage  
Supplemental oxygen: arterial oxygen saturation of greater than 90 %
****Chest wall percussion
Intubation and mechanical support
****Forced expiration technique (Huffing)
Positive pressure ventilation
CPAP
Antitussive therapy
 
 
Prevention of further atelectasis involves:
Prophylactic maneuvers preferred in patients include:
(1) Placement of the patient in the lateral decubitus position to allow drainage
(2) Chest physiotherapy
Incentive spirometry
Deep breathing exercises
Coughing exercises
Instructions for early ambulation
 
 
==References==
==References==
{{Reflist|2}}
{{Reflist|2}}

Latest revision as of 17:12, 20 February 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sudarshana Datta, MD [2]

Overview

Judicious use of anaesthetic agents known to cause narcosis, use of epidural analgesia in patients with underlying pulmonary disease, incentive spirometry, early ambulation, humidifiers, breathing exercises, coughing exercises and supplemental oxygen are effective measures of primary prevention in patients undergoing operative procedures, in order to prevent post operative atelectasis.

Primary Prevention

References

  1. "Atelectasis | National Heart, Lung, and Blood Institute (NHLBI)".
  2. "Atelectasis: Prevention - National Library of Medicine - PubMed Health".
  3. Schindler MB (August 2005). "Treatment of atelectasis: where is the evidence?". Crit Care. 9 (4): 341–2. doi:10.1186/cc3766. PMC 1269473. PMID 16137380.

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