Atelectasis primary prevention

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

Overview

There are no established measures for the primary prevention of [disease name].

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

• There are no established measures for the primary prevention of [disease name].
• There are no available vaccines against [disease name].

OR

• Effective measures for the primary prevention of [disease name] include:
  • [Measure1]
  • [Measure2]
  • [Measure3]

Postoperative atelectasis: Judicious use of anaesthetic agents known to cause narcosis Sparing use of narcotics to avoid depression of the cough reflex Use of epidural analgesia in patients with underlying pulmonary disease is advocated Incentive spirometry Early ambulation Humidifiers Nebulized bronchodilators Chest physiotherapy Patient should be instructed to inspire deeply and cough Supplemental oxygen: arterial oxygen saturation of greater than 90 % Intubation and mechanical support 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