Rx of choice in postoperative lung collapse is ?
Ans is 'd' ie Endoscopic suction The text given on post-op lung collapse in sabiston as well as schwaz mention no where that `endoscopic suction' is a treatment modality But still reading the text it appears that Endoscopic suction is the best answer among the given options. Below, I have quoted the text. Read it to make your own inference. "The most common postoperative respiratory complication is atelectasis. As a result of the anesthetic, abdominal incision, and postoperative narcotics, the alveoli in the periphery collapse and a pulmonary shunt may occur. If appropriate attention is not directed to aggressive pulmonary toilet with the initial symptoms, the alveoli remain collapsed and a buildup of secretions occurs and becomes secondarily infected with bacteria. The risk appears to be paicularly high in patients who are heavy smokers, are obese, and have copious pulmonary secretions. Pneumonia may develop early (i.e., 2-5 days after admission to the hospital) or late (i.e., >5 days) and is referred to as health care-related pneumonia. Aspiration of oropharyngeal and gastric contents is the leading cause of health care-related pneumonia. Presentation and Management The most common cause of a postoperative fever in the first 48 hours after the procedure is atelectasis. The patients has a low-grade fever, malaise, and diminished breath sounds in the lower lung fields. Very often the patient is uncomfoable from the fever but has no other ove pulmonary symptoms. Atelectasis is so common postoperatively that a formal workup is not usually required. However, if not aggressively managed, frank development of pneumonia is likely. A patient with pneumonia, on the other hand, will have a high fever, occasionally mental confusion, and the production of a thick secretion with coughing, leukocytosis, and a chest radiograph that reveals infiltrates. If the condition is not expeditiously diagnosed and treated, the patient may rapidly progress to respiratory failure and require intubation. Prevention of atelectasis and pneumonia is associated with pain control, which allows the patient to take deep breaths and cough. A patient-controlled analgesia device seems to be associated with better pulmonary toilet, as does the use of an epidural infusion catheter, paicularly in patients with epigastric incisions. Respiratory care, otherwise, begins preoperatively. The patient must be instructed in use of the incentive spirometer and be held accountable by nurses and physicians during rounds. Encouraging the patient to cough while applying counterpressure with a pillow on the abdominal incision site is most helpful. Rarely, other modalities such as intermittent positive pressure breathing and chest physiotherapy may be required. Encouraging the patient to breathe deeply and cough is the single most valuable management approach in preventing and resolving atelectasis and pneumonia. Patients in whom pneumonia develops in the postoperative period are managed with aggressive pulmonary toilet, induced sputum for culture and sensitivity testing, and empirical broad-spectrum IV antibiotic therapy while awaiting culture results. Once the organisms are cultured from sputum, a specific antibiotic must be used as indicated."
Needle drainage
Coicosteroids
Pulmonary resection
Endoscopic suction