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 select how you would like to proceed. Keep the current affiliation with [InstitutionA] and continue with the Access profile sign in process Switch affiliation to [InstitutionB] and continue with the Access profile sign in process 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 Error: Incorrect UserName or Password Username Error: Please enter User Name Password Error: Please enter Password Sign in Forgot Password? Forgot Username? Sign in via OpenAthens Sign in via Shibboleth You already have access! Please proceed to your institution's subscription. Create a free profile for additional features.