Display options
Cite
Tarbiat M, Bakhshaei MH, Khorshidi HR, et al. Portable Chest Radiography Immediately after Post-Cardiac Surgery; an Essential Tool for the Early Diagnosis and Treatment of Atelectasis: a Case Report. Tanaffos. 2020;19(4):418-421
Tarbiat, M., Bakhshaei, M. H., Khorshidi, H. R., & Manafi, B. (2020). Portable Chest Radiography Immediately after Post-Cardiac Surgery; an Essential Tool for the Early Diagnosis and Treatment of Atelectasis: a Case Report. Tanaffos, 19(4), 418-421.
Tarbiat, Masoud, et al. "Portable Chest Radiography Immediately after Post-Cardiac Surgery; an Essential Tool for the Early Diagnosis and Treatment of Atelectasis: a Case Report." Tanaffos vol. 19,4 (2020): 418-421.
Tarbiat M, Bakhshaei MH, Khorshidi HR, Manafi B. Portable Chest Radiography Immediately after Post-Cardiac Surgery; an Essential Tool for the Early Diagnosis and Treatment of Atelectasis: a Case Report. Tanaffos. 2020 Dec;19(4):418-421. PMID: 33959181; PMCID: PMC8088149.
Copy Download .nbib Format: NLM
Share it on

Tanaffos. 2020 Dec;19(4):418-421.

Portable Chest Radiography Immediately after Post-Cardiac Surgery; an Essential Tool for the Early Diagnosis and Treatment of Atelectasis: a Case Report.

Tanaffos

Masoud Tarbiat, Mohammad Hossein Bakhshaei, Hamid Reza Khorshidi, Babak Manafi

Affiliations

  1. Department of Anesthesiology, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran.
  2. Department of Surgery, School of Medicine, Hamadan University of Medical Sciences, Hamadan, Iran.

PMID: 33959181 PMCID: PMC8088149

Abstract

Atelectasis after endobronchial intubation (ETT) is a known complication of general anesthesia. In-bed auscultation of lungs and use of the 21/23 rule are the two suggestive, but not reliable, methods for the early detection of this event; however, none of them guarantees its prevention. The portable chest radiograph (CXR) is a simple, quick method to detect atelectasis and proper placement of the endotracheal tube in the intensive care unit (ICU). A case of postsurgical, ICU-admitted patient was presented in the report, demonstrating left (LT) lung atelectasis in immediate portable CXR without any evidence of respiratory or hemodynamic abnormality. Portable CXR showed that the tip of the endotracheal tube was located in the lumen of the right main bronchus, leading to LT lung total atelectasis. After repositioning of ETT to the lumen of the trachea, atelectasis was disappeared in early follow-up CXR.

Copyright© 2020 National Research Institute of Tuberculosis and Lung Disease.

Keywords: Cardiac Surgical Procedures; Intensive Care Units; Intubation; Portable CXR; Pulmonary Atelectasis

References

  1. Chest. 1989 Nov;96(5):1043-5 - PubMed
  2. Anaesthesia. 1997 Jan;52(1):24-31 - PubMed
  3. Arch Bronconeumol. 2010 Jun;46(6):317-24 - PubMed
  4. BMJ. 2010 Nov 09;341:c5943 - PubMed
  5. Indian J Crit Care Med. 2013 Jul;17(4):240-2 - PubMed
  6. Anesthesiology. 2003 Jan;98(1):14-22 - PubMed
  7. Anesth Prog. 2015 Summer;62(2):66-70 - PubMed

Publication Types