Document Detail


Postoperative atelectasis: Intermittent positive pressure breathing, incentive spirometry, and face-mask positive end-expiratory pressure.
MedLine Citation:
PMID:  7020643     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Postoperative atelectasis has been treated with inspiratory maneuvers in an attempt to increase functional residual capacity. We compared the effect of intermittent positive pressure breathing (IPPB), incentive spirometry, and 5-cm H2O positive end-expiratory pressure (PEEP) applied with a face mask on the transpulmonary pressure (PL) at the end of expiration of eight patients 24 to 34 hours after aortocoronary bypass graft insertion. Intermittent positive pressure breathing and PEEP increased expiratory PL during therapy. After IPPB, expiratory PL fell below control values and then returned toward, but did not reach, control values After PEEP was discontinued, expiratory PL returned to control values within the next 30 minutes. The results suggest that face-mask PEEP will increase functional residual capacity, that incentive spirometry has little or effect, and that IPPB may decrease lung volume after treatment.
Authors:
W L Paul; J B Downs
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Archives of surgery (Chicago, Ill. : 1960)     Volume:  116     ISSN:  0004-0010     ISO Abbreviation:  Arch Surg     Publication Date:  1981 Jul 
Date Detail:
Created Date:  1981-09-25     Completed Date:  1981-09-25     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  9716528     Medline TA:  Arch Surg     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  861-3     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Humans
Intermittent Positive-Pressure Breathing
Lung Volume Measurements
Male
Masks
Middle Aged
Positive-Pressure Respiration / instrumentation,  methods
Postoperative Period
Pulmonary Atelectasis / physiopathology,  therapy*
Respiratory Therapy*
Spirometry

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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