Bilobar atelectasis after difficult tracheal intubation

J. Sprung, L. J. Lozada, G. Zanettin, M. Banoub

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Abstract

Acute intra-operative collapse of a lobe without apparent cause is rare. We report a case of transient bilobar atelectasis that developed without any apparent cause after a difficult tracheal intubation in a healthy young patient. Intrabronchial obstruction was ruled out by bronchoscopy. The bilobar atelectasis developed acutely and resolved quickly with mechanical ventilation. The characteristics of the lung collapse were atypical, suggesting either its reflex nature or acute reduction of lung volume owing to intubation-induced coughing. We present a review of the mechanisms of atelectasis.

Original languageEnglish (US)
Pages (from-to)1207-1211
Number of pages5
JournalAnaesthesia
Volume52
Issue number12
DOIs
StatePublished - Jan 1 1997

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Keywords

  • Complications; pneumonia
  • Intubation; difficult

ASJC Scopus subject areas

  • Anesthesiology and Pain Medicine

Cite this

Sprung, J., Lozada, L. J., Zanettin, G., & Banoub, M. (1997). Bilobar atelectasis after difficult tracheal intubation. Anaesthesia, 52(12), 1207-1211. https://doi.org/10.1111/j.1365-2044.1997.227-az0362.x