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- W2038907138 abstract "PULMONARY ATELECTASIS has long been recognized as a postoperative and postendotracheal extubation complication in surgical patients, both adults and pediatric, '-~ and has been attributed to splinting from incisional pain, in addition to other factors. Postextubation lobar opacification has occurred frequently in our non-operated newborn infants who have received mechanical ventilation for respiratory failure in the newborn period. This phenomenon is apparently widespread? -7 but its significance in the delicate postextubation process following prolonged mechanical ventilation has not been reported. Anticipation and prompt recognition of this problem may result in effective therapy? The risk factors that might predispose to this complication and allow its anticipation, however, have not been delineated. We have reviewed our recent experience with neonates who developed postextubation lobar opacification and with similar infants who did not develop the complication, in an attempt to determine its significance and to predict, if possible, which infants may be at high risk. MATERIALS AND METHODS The records of all neonates who were intubated with endotracheal tubes in the Holden Perintal Unit of C.S. Mott Children's Hospital from January to June, 1975, were reviewed. Twenty-seven patients with birth weights of 1.1 to 4.7 kg had positive pressure intermittent mandatory ventilation or, in two cases, continuous positive airway pressure applied through endotracheal tubes for more than eight hours. In 17 infants the primary diagnosis was respiratory distress syndrome and prematurity. Four neonates were asphyxiated. Other single diagnoses included meconium aspiration, congenital heart disease," @default.
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- W2038907138 date "1977-07-01" @default.
- W2038907138 modified "2023-10-10" @default.
- W2038907138 title "Lobar opacification of the lung after tracheal extubation in neonates" @default.
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- W2038907138 doi "https://doi.org/10.1016/s0022-3476(77)80459-9" @default.
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