Absorption Atelectasis: Incidence and Clinical Implications

O'brien, Jennifer
June 2013
AANA Journal;Jun2013, Vol. 81 Issue 3, p205
Academic Journal
General anesthesia is known to cause pulmonary atelectasis; in turn, atelectasis increases shunt, decreases compliance, and may lead to perioperative hypoxemia. One mechanism for the formation of atelectasis intraoperatively is ventilation with 100% oxygen. The goal of this review is to determine if research suggests that intraoperative ventilation with 100% oxygen leads to clinically significant pulmonary side effects. An initial literature search included electronic databases (Cumulative Index to Nursing & Allied Health Literature [CINAHL], PubMed, MEDLINE, Embase, and The Cochrane Library) using the following search terms: oxygen (administration and dosage), atelectasis, pulmonary complications, and anesthesia. Results were limited to research studies, human subjects, and English-language publications between 1965 and 2011. From this body of research, it appears that absorption atelectasis does occur in healthy anesthetized adults breathing 100% oxygen. Data reviewed suggest that absorption atelectasis does not have significant clinical implications in healthy adults. However, further research is warranted in populations at increased risk of postoperative hypoxemia, including obese or elderly patients and those with preexisting cardiopulmonary disease.


Related Articles

  • Anesthesia and surgery in a WAMY Camp surgical clinic in a rural setting in North Cameroon. Takrouri, Mohamad Said Maani // Internet Journal of Third World Medicine;2008, Vol. 5 Issue 1, p1 

    The article presents the author's comments on the article "Anesthesia and Surgery in a WAMY Camp Surgical Clinic in a Rural Setting in North Cameroon." The author says that he is impressed by reading about using ketamine dissociative anesthesia and selective local anesthesia blocks for...

  • Influence of perioperative oxygen fraction on pulmonary function after abdominal surgery: a randomized controlled trial. Staehr, Anne K; Meyhoff, Christian S; Henneberg, Steen W; Christensen, Poul L; Ramussen, Lars S // BMC Research Notes;2012, Vol. 5 Issue 1, p383 

    Background: A high perioperative inspiratory oxygen fraction (FiO2) may reduce the frequency of surgical site infection. Perioperative atelectasis is caused by absorption, compression and reduced function of surfactant. It is well accepted, that ventilation with 100% oxygen for only a few...

  • Perioperative Risk Evaluation. Carrillo, Pedro Méndez; González, Alfredo Sosa; Escoboza, Rafael Borbolla; Garrigoux, Christian; Ibarra, Alfonso Castro // Internet Journal of Anesthesiology;2004, Vol. 8 Issue 2, p26 

    The classification of Physical Status of the American Society of Anesthesiologists (ASA) is not useful to predict the risk of perioperative complications. We propose a method that, besides ASA Classification, uses a stratification of the type of surgery and anesthesia to predict the risk of...

  • Mini-ventilation for improved oxygenation during lung resection surgery. SHECHTMAN, M. Y.; ZISER, A.; BARAK, M.; BEN-NUN, A. // Anaesthesia & Intensive Care;May2011, Vol. 39 Issue 3, p456 

    The article discusses the results of a study which compares the efficiency of a mini-ventilation over continuous positive airway pressure (CPAP) in improving oxygenation of patients during lung resection. According to the authors, the arterial oxygen partial pressure was remarkably higher during...

  • Acute hypoxaemia due to intraoperative lung collapse after repositioning the patient. Butala, Bina P.; Shah, Veena R.; Bhosale, Guruprasad P. // Indian Journal of Anaesthesia;Jul/Aug2011, Vol. 55 Issue 4, p395 

    Desaturation after induction of anaesthesia and repositioning due to mucus plug causing atelectasis (lung collapse) is a rare event. We present a case of intraoperative right lung collapse due to mucus plug in a patient undergoing left laparoscopic nephrectomy. Hypoxaemia occurred after the...

  • The role of an ambient pressure oxygen source during one-lung ventilation for thoracoscopic surgery. Pfitzner, J. // Anaesthesia & Intensive Care;2016, Vol. 44 Issue 1, p20 

    Video-assisted thoracoscopic surgery is facilitated by prompt collapse of the non-ventilated ('operated') lung, and interrupted and impeded if there is a need for oxygen (O2) delivery by continuous positive airways pressure in order to manage hypoxaemia. It has been proposed that connecting an...

  • Pleural procedural complications: prevention and management. Corcoran, John P.; Psallidas, Ioannis; Wrightson, John M.; Hallifax, Robert J.; Rahman, Najib M. // Journal of Thoracic Disease;Jun2015, Vol. 7 Issue 6, p1058 

    No abstract available.

  • Anesthetic management in a patient with Wolff-Parkinson-White syndrome for laparoscopic cholecystectomy. Gupta, Anurag; Sharma, Jyoti; Banerjee, Neerja; Sood, Rajesh // Anesthesia: Essays & Researches;May-Aug2013, Vol. 7 Issue 2, p270 

    Wolff-Parkinson-White syndrome is an electrophysiological disorder of heart. Patients with such disorder may be asymptomatic or present with cardiac symptoms like palpitation and dyspnea. These patients may present with serious cardiac complication like atrial fibrillation and PSVT...

  • Hyperbaric oxygen for anastomotic complications following low anterior resection: a report of five cases. Loon, Kenneth; Wilkins, Simon; Oliva, Karen; Carne, Peter; Fock, Andrew; Frawley, Geoff; Polglase, Adrian; McMurrick, Paul // International Journal of Colorectal Disease;Dec2014, Vol. 29 Issue 12, p1579 

    The article presents five case studies related to the medication of rectal cancer through hyperbaric oxygen (HBO) therapy. These case studies include a 46-year-old male, 29-year old male, 62-year-old male, 67-year-old woman and 35-year-old male. Also discussed are complications from ultra-low...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics