Pulmonary atelectasis in newborn infants: etiology and radiological aspects Abstract in English

Detalhes bibliográficos
Autor(a) principal: Alvares, Beatriz Regina
Data de Publicação: 2012
Outros Autores: Pereira, Inês Minitti Rodrigues, Mezzacappa, Maria Aparecida, Stopiglia, Mônica Sanchez, Pires, Camila da Silva
Tipo de documento: Artigo
Idioma: por
eng
Título da fonte: Scientia Medica (Porto Alegre. Online)
Texto Completo: https://revistaseletronicas.pucrs.br/scientiamedica/article/view/9345
Resumo: AIMS: To describe the main risk factors and the radiological findings of pulmonary atelectasis in newborns. SOURCE OF DATA: A literature review was conducted for the period of 2010/2011, through books and articles published over the past 30 years, obtained from the databases PubMed, SciELO and BIREME, using the descriptors: pulmonary atelectasis, diagnosis, infant, neonate, newborn. SUMMARY OF FINDINGS: Radiological signs of pulmonary atelectasis are related to volume loss, with fissural, hilar and mediastinal displacement, and diaphragmatic elevation toward the affected lung lobe or segment. The ribs of the affected hemithorax may have diminished spaces. Compensatory hyperinflation of the lung is present and the collapsed portions show increased radiopacity, with a triangular shape in at least one of radiographic projections. In newborn infants, the main etiological factors are mechanical ventilation with positive pressure, pneumonia, meconium aspiration syndrome, gastroesophageal reflux, bronchopulmonary dysplasia, congenital diaphragmatic hernia, pleural effusion and pneumothorax. CONCLUSIONS: Presence of pulmonary atelectasis is an important complication in infants admitted to neonatal intensive care unit. Radiology has an important role in the diagnosis and management of these patients.
id PUC_RS-25_e3dfaeed99a354b098cb831946920bde
oai_identifier_str oai:ojs.revistaseletronicas.pucrs.br:article/9345
network_acronym_str PUC_RS-25
network_name_str Scientia Medica (Porto Alegre. Online)
repository_id_str
spelling Pulmonary atelectasis in newborn infants: etiology and radiological aspects Abstract in EnglishAtelectasia pulmonar em recém-nascidos: etiologia e aspectos radiológicosPULMONARY ATELECTASISINFANTNEWBORNLUNG/RADIOGRAPHYX-RAYSRADIOLOGYDIAGNOSISINTENSIVE CARE UNITSNEONATAL.ATELECTASIA PULMONARRECÉM-NASCIDOPULMÃO/RADIOGRAFIARAIOS-XRADIOLOGIADIAGNÓSTICOUNIDADES DE TERAPIA INTENSIVA NEONATAL.AIMS: To describe the main risk factors and the radiological findings of pulmonary atelectasis in newborns. SOURCE OF DATA: A literature review was conducted for the period of 2010/2011, through books and articles published over the past 30 years, obtained from the databases PubMed, SciELO and BIREME, using the descriptors: pulmonary atelectasis, diagnosis, infant, neonate, newborn. SUMMARY OF FINDINGS: Radiological signs of pulmonary atelectasis are related to volume loss, with fissural, hilar and mediastinal displacement, and diaphragmatic elevation toward the affected lung lobe or segment. The ribs of the affected hemithorax may have diminished spaces. Compensatory hyperinflation of the lung is present and the collapsed portions show increased radiopacity, with a triangular shape in at least one of radiographic projections. In newborn infants, the main etiological factors are mechanical ventilation with positive pressure, pneumonia, meconium aspiration syndrome, gastroesophageal reflux, bronchopulmonary dysplasia, congenital diaphragmatic hernia, pleural effusion and pneumothorax. CONCLUSIONS: Presence of pulmonary atelectasis is an important complication in infants admitted to neonatal intensive care unit. Radiology has an important role in the diagnosis and management of these patients.OBJETIVOS: Descrever os principais fatores etiológicos e os achados radiológicos da atelectasia pulmonar em recém-nascidos. FONTE DE DADOS: Foi realizada uma revisão da literatura através de livros e artigos publicados nos últimos 30 anos, obtidos a partir das bases de dados PubMed, SciELO e BIREME, utilizando-se os descritores: atelectasia pulmonar/pulmonary atelectasis, diagnóstico/ diagnosis, neonato neonate, recém-nascido/infant, newborn. SÍNTESE DOS DADOS: Os sinais radiológicos de atelectasia pulmonar estão relacionados à perda volumétrica, com deslocamento cissural, hilar e mediastinal, bem como elevação diafragmática em direção ao lobo ou segmento pulmonar afetado. Os arcos costais no hemitórax comprometido podem apresentar espaços reduzidos. Está presente hiperinsuflação compensatória do pulmão remanescente e as porções colapsadas apresentam aumento da radiopacidade com forma triangular em pelo menos uma das projeções radiológicas. Em recém-nascidos, os principais fatores etiológicos são ventilação pulmonar mecânica com pressão positiva, pneumonia, síndrome da aspiração de mecônio, refluxo gastroesofágico, displasia broncopulmonar, hérnia diafragmática congênita, derrame pleural e pneumotórax. CONCLUSÕES: A presença de atelectasia pulmonar é uma importante complicação em recém-nascidos internados em unidade de terapia intensiva neonatal. O exame radiológico possui um importante papel no diagnóstico e no direcionamento do tratamento desses pacientes.Editora da PUCRS - ediPUCRS2012-02-29info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionapplication/pdfapplication/pdfhttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/9345Scientia Medica; Vol. 22 No. 1 (2012); 43-52Scientia Medica; v. 22 n. 1 (2012); 43-521980-61081806-5562reponame:Scientia Medica (Porto Alegre. Online)instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)instacron:PUC_RSporenghttps://revistaseletronicas.pucrs.br/scientiamedica/article/view/9345/7519https://revistaseletronicas.pucrs.br/scientiamedica/article/view/9345/7520Alvares, Beatriz ReginaPereira, Inês Minitti RodriguesMezzacappa, Maria AparecidaStopiglia, Mônica SanchezPires, Camila da Silvainfo:eu-repo/semantics/openAccess2013-07-15T18:48:04Zoai:ojs.revistaseletronicas.pucrs.br:article/9345Revistahttps://revistaseletronicas.pucrs.br/scientiamedica/PUBhttps://revistaseletronicas.pucrs.br/scientiamedica/oaiscientiamedica@pucrs.br || editora.periodicos@pucrs.br1980-61081806-5562opendoar:2013-07-15T18:48:04Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)false
dc.title.none.fl_str_mv Pulmonary atelectasis in newborn infants: etiology and radiological aspects Abstract in English
Atelectasia pulmonar em recém-nascidos: etiologia e aspectos radiológicos
title Pulmonary atelectasis in newborn infants: etiology and radiological aspects Abstract in English
spellingShingle Pulmonary atelectasis in newborn infants: etiology and radiological aspects Abstract in English
Alvares, Beatriz Regina
PULMONARY ATELECTASIS
INFANT
NEWBORN
LUNG/RADIOGRAPHY
X-RAYS
RADIOLOGY
DIAGNOSIS
INTENSIVE CARE UNITS
NEONATAL.
ATELECTASIA PULMONAR
RECÉM-NASCIDO
PULMÃO/RADIOGRAFIA
RAIOS-X
RADIOLOGIA
DIAGNÓSTICO
UNIDADES DE TERAPIA INTENSIVA NEONATAL.
title_short Pulmonary atelectasis in newborn infants: etiology and radiological aspects Abstract in English
title_full Pulmonary atelectasis in newborn infants: etiology and radiological aspects Abstract in English
title_fullStr Pulmonary atelectasis in newborn infants: etiology and radiological aspects Abstract in English
title_full_unstemmed Pulmonary atelectasis in newborn infants: etiology and radiological aspects Abstract in English
title_sort Pulmonary atelectasis in newborn infants: etiology and radiological aspects Abstract in English
author Alvares, Beatriz Regina
author_facet Alvares, Beatriz Regina
Pereira, Inês Minitti Rodrigues
Mezzacappa, Maria Aparecida
Stopiglia, Mônica Sanchez
Pires, Camila da Silva
author_role author
author2 Pereira, Inês Minitti Rodrigues
Mezzacappa, Maria Aparecida
Stopiglia, Mônica Sanchez
Pires, Camila da Silva
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Alvares, Beatriz Regina
Pereira, Inês Minitti Rodrigues
Mezzacappa, Maria Aparecida
Stopiglia, Mônica Sanchez
Pires, Camila da Silva
dc.subject.por.fl_str_mv PULMONARY ATELECTASIS
INFANT
NEWBORN
LUNG/RADIOGRAPHY
X-RAYS
RADIOLOGY
DIAGNOSIS
INTENSIVE CARE UNITS
NEONATAL.
ATELECTASIA PULMONAR
RECÉM-NASCIDO
PULMÃO/RADIOGRAFIA
RAIOS-X
RADIOLOGIA
DIAGNÓSTICO
UNIDADES DE TERAPIA INTENSIVA NEONATAL.
topic PULMONARY ATELECTASIS
INFANT
NEWBORN
LUNG/RADIOGRAPHY
X-RAYS
RADIOLOGY
DIAGNOSIS
INTENSIVE CARE UNITS
NEONATAL.
ATELECTASIA PULMONAR
RECÉM-NASCIDO
PULMÃO/RADIOGRAFIA
RAIOS-X
RADIOLOGIA
DIAGNÓSTICO
UNIDADES DE TERAPIA INTENSIVA NEONATAL.
description AIMS: To describe the main risk factors and the radiological findings of pulmonary atelectasis in newborns. SOURCE OF DATA: A literature review was conducted for the period of 2010/2011, through books and articles published over the past 30 years, obtained from the databases PubMed, SciELO and BIREME, using the descriptors: pulmonary atelectasis, diagnosis, infant, neonate, newborn. SUMMARY OF FINDINGS: Radiological signs of pulmonary atelectasis are related to volume loss, with fissural, hilar and mediastinal displacement, and diaphragmatic elevation toward the affected lung lobe or segment. The ribs of the affected hemithorax may have diminished spaces. Compensatory hyperinflation of the lung is present and the collapsed portions show increased radiopacity, with a triangular shape in at least one of radiographic projections. In newborn infants, the main etiological factors are mechanical ventilation with positive pressure, pneumonia, meconium aspiration syndrome, gastroesophageal reflux, bronchopulmonary dysplasia, congenital diaphragmatic hernia, pleural effusion and pneumothorax. CONCLUSIONS: Presence of pulmonary atelectasis is an important complication in infants admitted to neonatal intensive care unit. Radiology has an important role in the diagnosis and management of these patients.
publishDate 2012
dc.date.none.fl_str_mv 2012-02-29
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
format article
status_str publishedVersion
dc.identifier.uri.fl_str_mv https://revistaseletronicas.pucrs.br/scientiamedica/article/view/9345
url https://revistaseletronicas.pucrs.br/scientiamedica/article/view/9345
dc.language.iso.fl_str_mv por
eng
language por
eng
dc.relation.none.fl_str_mv https://revistaseletronicas.pucrs.br/scientiamedica/article/view/9345/7519
https://revistaseletronicas.pucrs.br/scientiamedica/article/view/9345/7520
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv application/pdf
application/pdf
dc.publisher.none.fl_str_mv Editora da PUCRS - ediPUCRS
publisher.none.fl_str_mv Editora da PUCRS - ediPUCRS
dc.source.none.fl_str_mv Scientia Medica; Vol. 22 No. 1 (2012); 43-52
Scientia Medica; v. 22 n. 1 (2012); 43-52
1980-6108
1806-5562
reponame:Scientia Medica (Porto Alegre. Online)
instname:Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
instacron:PUC_RS
instname_str Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
instacron_str PUC_RS
institution PUC_RS
reponame_str Scientia Medica (Porto Alegre. Online)
collection Scientia Medica (Porto Alegre. Online)
repository.name.fl_str_mv Scientia Medica (Porto Alegre. Online) - Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS)
repository.mail.fl_str_mv scientiamedica@pucrs.br || editora.periodicos@pucrs.br
_version_ 1809101749567356928

Registros relacionados