ATELECTASIS
ATELECTASIS
ATELECTASIS
1. Definition:
Atelectasis (at-uh-LEK-tuh-sis) is a complete or partial collapse of the entire lung or area (lobe)
of the lung. It occurs when the tiny air sacs (alveoli) within the lung become deflated or possibly
filled with alveolar fluid.
Atelectasis is one of the most common breathing (respiratory) complications after surgery. It's
also a possible complication of other respiratory problems, including cystic fibrosis, lung
tumors, chest injuries, fluid in the lung and respiratory weakness. You may develop atelectasis if
you breathe in a foreign object.
Atelectasis can make breathing difficult, particularly if you already have lung disease. Treatment
depends on the cause and severity of the collapse.
Atelectasis occurs from a blocked airway (obstructive) or pressure from outside the lung
(nonobstructive).
Mucus plug. A mucus plug is a buildup of mucus in your airways. It commonly occurs
during and after surgery because you can't cough. Drugs given during surgery make you
breathe less deeply, so normal secretions collect in the airways. Suctioning the lungs
during surgery helps clear them, but sometimes they still build up. Mucus plugs are also
common in children, people with cystic fibrosis and during severe asthma attacks.
Tumor inside the airway. An abnormal growth can narrow the airway.
Pleural effusion. This condition involves the buildup of fluid between the tissues
(pleura) that line the lungs and the inside of the chest wall.
Pneumothorax. Air leaks into the space between your lungs and chest wall, indirectly
causing some or all of a lung to collapse.
Tumor. A large tumor can press against and deflate the lung, as opposed to blocking the
air passages.
There may be no obvious signs or symptoms of atelectasis. If you do have signs and symptoms,
they may include:
Difficulty breathing
Wheezing
Cough
Treating atelectasis depends on the underlying cause and how severe your symptoms
are.
If you’re having trouble breathing or feel like you’re not getting enough air, seek
immediate medical treatment.
You may need the assistance of a breathing machine until your lungs can recover and
the cause is treated.
Nonsurgical treatment
Most cases of atelectasis don’t require surgery. Depending on the underlying cause,
your doctor might suggest one or a combination of these treatments:
Surgical treatment
In very rare cases, you may need to have a small area or lobe of your lung removed. This
is usually only done after trying all other options or in cases involving permanently
scarred lungs.
Reference:
https://www.mayoclinic.org/diseases-conditions/atelectasis/symptoms-causes/syc-20369684
https://www.healthline.com/health/atelectasis