Sections View Full Chapter Figures Tables Videos Annotate Full Chapter Figures Tables Videos Supplementary Content + • Localized collapse of alveoli• Hypoxemia +++ Epidemiology + • Prolonged immobilization• Splinting• Prolonged shallow respirations +++ Symptoms and Signs + • Hypoxemia• Bronchial breath sounds over dependent portions of lungs +++ Laboratory Findings + • Hypoxemia +++ Imaging Findings + • Parenchymal collapse on chest film• Small lung volumes on chest film + • Frequently occurs postoperatively within 48 hours• Fever often unaccompanied by other findings + • ABG measurements• Chest x-ray + • Encourage deep breathing• Ambulation• Encourage coughing• Bronchoscopy• Mechanical ventilation• Diuresis if appropriate +++ Medications + • Diuretics if appropriate• Adequate pain relief +++ Complications + • Pneumonia +++ Prognosis + • Excellent +++ Prevention + • Incentive spirometry +++ References ++Lawrence VA, Cornell JE, Smetana GW: Strategies to reduce postoperative pulmonary complications after noncardiothoracic surgery: systematic review for the American College of Physicians. Ann Intern Med 2006;144:596. [PubMed: 16618957] Your Access profile is currently affiliated with '[InstitutionA]' and is in the process of switching affiliations to '[InstitutionB]'. Please click ‘Continue’ to continue the affiliation switch, otherwise click ‘Cancel’ to cancel signing in. Get Free Access Through Your Institution Learn how to see if your library subscribes to McGraw Hill Medical products. Subscribe: Institutional or Individual Sign In Username Error: Please enter User Name Password Error: Please enter Password Forgot Username? Forgot Password? Sign in via OpenAthens Sign in via Shibboleth