Acute lung injury and acute respiratory distress syndrome after pulmonary resection

Kutlu, Cemal Asım; Williams, Elizabeth A.; Evans, Timothy W.; Pastorino, Ugo; Goldstraw, Peter

doi:10.1016/s0003-4975(99)01090-5

Cited by 218 publications

(164 citation statements)

References 30 publications

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“…While the incidence of lung injury after lung resection is fairly consistent, between 2 and 4 % [10][11][12], the mortality rate has decreased from almost 100 % to less than 40 %, largely due to improvements in ICU management [1].…”

Section: Epidemiology and Impact Of Ards After Lung Resection Surgerymentioning

confidence: 99%

Volume Management and Resuscitation in Thoracic Surgery

Ashes

Slinger

2014

Curr Anesthesiol Rep

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Lung injury following thoracic surgery is a major cause of morbidity and mortality. A consistent risk factor is excessive perioperative fluid administration, not only following pneumonectomy, but also after lesser lung resections and esophageal surgery. Recent insights into the pathophysiology of lung injury after thoracic surgery include the role of the endothelial glycocalyx, pulmonary endothelium, lung lymphatics, and right ventricular dysfunction. While a restrictive approach to fluid administration may reduce the risk of lung injury, there are concerns regarding the risks of acute kidney injury with this approach. Goal-directed approaches may be applied to the thoracic surgical population, and lung ultrasound appears to be a promising new technique to further guide perioperative fluid therapy. There is a paucity of data to guide the choice of crystalloid or colloid solution. Further research is required regarding prevention, diagnosis, and treatment of lung injury following thoracic surgery.

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Section: Epidemiology and Impact Of Ards After Lung Resection Surgerymentioning

confidence: 99%

Volume Management and Resuscitation in Thoracic Surgery

Ashes

Slinger

2014

Curr Anesthesiol Rep

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“…1 This complication has most commonly been described after pneumonectomy, 2 with a range of reported incidence, due to variability in lung injury definition. 1 The incidence of ARDS, the most severe form of lung injury, after lung resection is 2-5%, and post-pneumonectomy increases the occurrence up to 4 -15%.…”

Section: Introductionmentioning

confidence: 99%

“…1 The incidence of ARDS, the most severe form of lung injury, after lung resection is 2-5%, and post-pneumonectomy increases the occurrence up to 4 -15%. [1][2][3][4] Patients with ARDS require ventilatory assistance, usually escalating to endotracheal intubation and mechanical ventilation (ETMV), which is associated with increased mortality rate.…”

Section: Introductionmentioning

confidence: 99%

Noninvasive Ventilation for Post-Pneumonectomy Severe Hypoxemia

Koutsogiannidis

Ampatzidou²,

Ananiadou

et al. 2012

Respir Care

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ARDS remains a lethal complication after major lung resections. The reported mortality ranges from 50% to 100%, with increased incidence and mortality rates in pneumonectomy patients. The pathogenesis of early ARDS is still not fully understood, and the majority of patients will require mechanical ventilation. A review of the literature reveals that the role of noninvasive ventilation (NIV) in ARDS after lung resection is unclear, in contrast to its well established benefits in other types of respiratory failure. NIV is a technique of augmenting alveolar ventilation delivered by face mask, without introducing an endotracheal tube. NIV may reduce the need for endotracheal mechanical ventilation and improve clinical outcome in patients with acute respiratory failure after lung resection, avoiding complications related to intubation. We present a case of early ARDS following left-sided pneumonectomy, where bi-level positive airway pressure ventilation prompted a successful outcome.

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“…1) In spite of the absence of computed tomography (CT) findings of interstitial pneumonia, histopathological examination of the lung rarely reveals UIP pattern in some patients, and such UIP pattern is called microscopic UIP.…”

Section: Introductionmentioning

confidence: 99%

Acute Exacerbation of Idiopathic Pulmonary Fibrosis of Microscopic Usual Interstitial Pneumonia Pattern after Lung Cancer Surgery

Goto

Maeshima

Akanabe

et al. 2011

ATCS

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A 78-year-old man underwent right lower lobectomy for lung cancer. Histopathological examination led to the diagnosis of adenosquamous cell carcinoma. The background lung adjacent to the pleura showed idiopathic pulmonary fibrosis of microscopic usual interstitial pneumonia pattern, although preoperative computed tomography showed no apparent findings of interstitial pneumonia. The patient showed an acute exacerbation of idiopathic pulmonary fibrosis on the third postoperative day. We herein report a case of acute exacerbation of idiopathic pulmonary fibrosis of microscopic usual interstitial pneumonia pattern after lung cancer surgery.

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Acute lung injury and acute respiratory distress syndrome after pulmonary resection

Cited by 218 publications

References 30 publications

Volume Management and Resuscitation in Thoracic Surgery

Volume Management and Resuscitation in Thoracic Surgery

Noninvasive Ventilation for Post-Pneumonectomy Severe Hypoxemia

Acute Exacerbation of Idiopathic Pulmonary Fibrosis of Microscopic Usual Interstitial Pneumonia Pattern after Lung Cancer Surgery

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