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Titolo:
Incidence of pulmonary edema after tracheotomy for obstructive sleep apnea
Autore:
Burke, AJC; Duke, SG; Clyne, S; Khoury, SA; Chiles, C; Matthews, BL;
Indirizzi:
Wake Forest Univ, Bowman Gray Sch Med, Dept Otolaryngol Head & Neck Surg, Winston Salem, NC 27103 USA Wake Forest Univ Winston Salem NC USA 27103 , Winston Salem, NC 27103 USA Wake Forest Univ, Bowman Gray Sch Med, Dept Radiol, Winston Salem, NC 27103 USA Wake Forest Univ Winston Salem NC USA 27103 , Winston Salem, NC 27103 USA
Titolo Testata:
OTOLARYNGOLOGY-HEAD AND NECK SURGERY
fascicolo: 4, volume: 125, anno: 2001,
pagine: 319 - 323
SICI:
0194-5998(200110)125:4<319:IOPEAT>2.0.ZU;2-8
Fonte:
ISI
Lingua:
ENG
Soggetto:
UPPER AIRWAY-OBSTRUCTION;
Tipo documento:
Article
Natura:
Periodico
Settore Disciplinare:
Clinical Medicine
Citazioni:
15
Recensione:
Indirizzi per estratti:
Indirizzo: Burke, AJC Virginia Ear Nose & Throat Associates, 5875 Bremo Rd,Suite 303,Richmond, VA 23226 USA Virginia Ear Nose & Throat Associates 5875 Bremo Rd,Suite 303 Richmond VA USA 23226
Citazione:
A.J.C. Burke et al., "Incidence of pulmonary edema after tracheotomy for obstructive sleep apnea", OTO H N SUR, 125(4), 2001, pp. 319-323

Abstract

OBJECTIVE., The phenomenon of postobstructive pulmonary edema (POPE) has been associated with the relief of upper airway obstruction, which itself isfundamental to the pathophysiology of obstructive sleep apnea (OSA). A review of patients with OSA undergoing tracheotomy was performed to characterize this process. STUDY DESIGN., Retrospective chart review of study patients with OSA undergoing tracheotomy and of control patients without OSA undergoing tracheotomy for unrelated problems. Chest radiographs were reviewed in a double-blindfashion to score posttracheotomy changes in pulmonary status. SETTING: Academic tertiary referral center. RESULTS: Thirty (67%) of 45 OSA patients treated by tracheotomy had evidence of POPE, whereas only 5 (20%) of 25 control group patients had increasedpulmonary edema. The remaining 15 (33%) of 45 OSA patients and 20 (80%) of25 control patients had either no change or an improved pulmonary status. Those with OSA that developed POPE were mostly graded as having mild pulmonary edema (22/30, 73%). Far fewer were graded as having moderate pulmonary edema (6/30, 20%), and fewer still with severe pulmonary edema (2/30, 7%). Two (7%) of 45 patients with severe POPE died of complications related to cor pulmonale in the postoperative period. CONCLUSION. Results support maintaining a high index of suspicion for the development of postobstructive pulmonary edema in patients treated for OSA. Treatment options, such as positive pressure ventilation and diuresis, andan increased awareness of this condition may help reduce the morbidity andmortality associated with treatment of this disease.

ASDD Area Sistemi Dipartimentali e Documentali, Università di Bologna, Catalogo delle riviste ed altri periodici
Documento generato il 04/04/20 alle ore 02:41:13