How do you cure atelectasis
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Diagnosis A doctor's examination and plain chest X-ray may be all that is needed to diagnose atelectasis. They include: CT scan. Since a CT is a more sensitive technique than an X-ray, it may sometimes help better detect the cause and type of atelectasis. This simple test uses a small device placed on one of your fingers to measure your blood-oxygen level. It helps determine the severity of atelectasis. Ultrasound of the thorax. This noninvasive test can help tell the difference between atelectasis, hardening and swelling of a lung due to fluid in the air sacs lung consolidation , and pleural effusion.
A flexible, lighted tube inserted down your throat allows your doctor to see what may be causing a blockage, such as a mucus plug, tumor or foreign body. This procedure may also be used to remove the blockages.
More Information Bronchoscopy Spirometry. Request an Appointment at Mayo Clinic. Initial diagnosis is usually based on chest x-ray and clinical findings. Causes, symptoms, treatment, preventive measures, and Symptoms of hypoxemia tend to be related to acuity and extent of atelectasis. With rapid, extensive atelectasis, dyspnea or even respiratory failure can develop. With slowly developing, less extensive atelectasis, symptoms may be mild or absent.
Pneumonia may cause cough, dyspnea, and pleuritic pain. Pleuritic pain may also be due to the disorder that caused atelectasis eg, chest trauma, surgery. Signs are often absent. Decreased breath sounds in the region of atelectasis and possibly dullness to percussion and decreased chest excursion are detectable if the area of atelectasis is large.
Often it is discovered only on chest imaging eg, x-ray or CT. Atelectasis should be suspected in patients who have any unexplained respiratory symptoms and who have risk factors, particularly recent major surgery. If the cause of atelectasis is not clinically apparent eg, if it is not recent surgery or pneumonia seen on chest x-ray or another disorder is suspected eg, pulmonary embolism Pulmonary Embolism PE Pulmonary embolism PE is the occlusion of pulmonary arteries by thrombi that originate elsewhere, typically in the large veins of the legs or pelvis.
Risk factors for pulmonary embolism are Evidence for the efficacy of most treatments for atelectasis is weak or absent. Nonetheless, commonly recommended measures include chest physiotherapy Chest Physiotherapy Chest physiotherapy consists of external mechanical maneuvers, such as chest percussion, postural drainage, and vibration, to augment mobilization and clearance of airway secretions.
It is indicated In ambulatory patients, exercise eg, walking is a desirable way to promote deep breathing. For patients who are not intubated and do not have excessive secretions, continuous positive airway pressure may help. For patients who are intubated and mechanically ventilated Overview of Mechanical Ventilation Mechanical ventilation can be Noninvasive, involving various types of face masks Invasive, involving endotracheal intubation Selection and use of appropriate techniques require an understanding Avoiding oversedation helps ensure ventilation and sufficient deep breathing and coughing.
Atelectasis may not cause signs or symptoms if it affects only a small area of lung. If it affects a larger area of the lung, it can cause fever, shallow breathing, wheezing, or coughing. The most common test used to diagnose atelectasis is a chest X-ray. Bronchoscopy or imaging tests can confirm a diagnosis. Atelectasis treatment can include breathing or coughing exercises, inhaled medicines, breathing devices, or surgery. Atelectasis usually gets better with time or treatment.
However, if it is undiagnosed or untreated, serious complications can occur, including fluid buildup, pneumonia , and respiratory failure. Large areas of atelectasis may be life threatening, often in a baby or small child, or in someone who has another lung disease or illness. The collapsed lung usually reinflates slowly if the airway blockage has been removed.
Scarring or damage may remain. The outlook depends on the underlying disease. For example, people with extensive cancer often don't do well, while those with simple atelectasis after surgery have a very good outcome. Kendig's Disorders of the Respiratory Tract in Children. Philadelphia, PA: Elsevier; chap Conn's Current Therapy Philadelphia, PA: Elsevier; Rozenfeld RA. In: Kliegman RM, St. Nelson Textbook of Pediatrics. URAC's accreditation program is the first of its kind, requiring compliance with 53 standards of quality and accountability, verified by independent audit.
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