Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C0010200 (cough)
 23,843 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

Postoperative atelectasis is a common problem following any surgery. Limited atelectasis is usually well-tolerated and easily reversible. However, complete atelectasis of the remaining lung following partial lung resection may be poorly tolerated. Thoracic surgical procedures increase the risk because pain, thoracic muscle injury, chest wall instability, and diaphragmatic dysfunction impair clearance of secretions by cough. In addition, patients with lung diseases are prone to increased bronchial secretions. Prophylaxis includes preoperative and postoperative physiotherapy and medications, which should be graded in accordance to the individual patient's risk factors. Large atelectasis requires bronchoscopy to remove mucous plugs. Tracheostomy should be considered in patients with relapsing atelectasis or swallow disorders.
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PMID:Postoperative atelectasis. 974 34

Atelectasis and pneumonia are common postoperative complications occurred in patients undergoing general thoracic surgery. Strategies to reduce the risk of postoperative pulmonary complications including these 2 disorders consist of smoking cessation, optimization of underlying chronic obstructive pulmonary disease( COPD), adequate pain control, intensive oral care, and so on. Preoperative treatments for patients with COPD are the same as those for COPD patients being not about to have surgery, which mainly consist of long-acting bronchodilators and pulmonary rehabilitation. Postoperative atelectasis can be treated with airway clearance techniques including postural drainage and coughing, and bronchial suctioning using bronchoscopy or tracheal catheter inserted through cricothyroid ligament as needed. Treatment for postoperative pneumonia starts with microbiologic studies on respiratory samples followed by assessment of existence or non-existence of sepsis, severity of the disease using I-ROAD (immunodeficiency, respiration, orientation, age, dehydration) prognostic guidelines, and risk factors for multidrug-resistance pathogens. Then, adequate selection of antibiotics and escalation or de-escalation principle is required according to the new guidelines recently published by the Japanese Respiratory Society.
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PMID:[Postoperative Atelectasis and Pneumonia after General Thoracic Surgery]. 2879 Feb 83