A group of patients having upper abdominal surgery were studied post-operatively for radiological evidence of early pulmonary congestion and interstitial pulmonary oedema. In addition, arterial oxygen tensions were measured. It is postulated that the accumulation of pulmonary interstitial fluid may be important in the development of post-operative hypoxaemia.
References
1.
AbramsJ. S., DeaneR. S., and DavisJ. H. (1973): “Adverse effects of salt and water retention on pulmonary function in patients with multiple trauma”, J. Trauma, 13, 788.
2.
AhearnR. S., and GrayT. C. (1967): “Effects of anaesthesia and anaesthetic agents on the circulation”, in The Scientific Foundations of Surgery, WellsC., and KyleJ. (Eds.), Heinemann, London, p. 37.
3.
AlexanderJ., SpenceA., ParikhR., and StuartB. (1973): “The role of airway closure in postoperative hypoxaemia”, Brit. J. Anaesth., 45, 34.
4.
BøG., HaugeA., and WaalerB. (1973), “Does interstitial lung edema cause changes in lung compliance”, New ling. J. Med., 288, 471.
5.
CollinsJ. V. (1973): “Closing volume—A test of small airways function”, Brit. J. Dis. Chest, 67, 1.
6.
FilleyG. (1967): Pulmonary Insufficiency and Respiratory Failure, Lea and Febiger, Philadelphia.
7.
MaierH. (1949): “Blood stasis in the lungs as a factor in the etiology of post-operative pulmonary complications”, Ann. Surg., 130, 790.
8.
MilneE. (1973): “Correlation of physiologic findings with chest roentgenology”, Radiol. Clin. N. Amer., 11, 17.
9.
MortonA., SeymourJ., and HaskerW. (1970): Post-operative hypoxaemia: A possible contributing factor”, Aust. N.Z. J. Surg., 40, 203.
10.
MortonA., and RobertsonI. (1971): “Monitoring value of serial chest X-ray examinations with portable equipment”, Med. J. Aust., 1, 157.
11.
PetersR. (1969): “Post-operative pulmonary function”, in Clinical Cardiopulmonary Physiology, 3rd Edition, Ed. GordonB., CarletonR., and FaberP., p. 678.
12.
ShoemakerW., PrintenK., AmatoJ., MonsonD., CareyJ., and O'ConnorK. (1967): “Haemodynamic patterns after acute anaesthetised and unaesthetised trauma”, Arch. Surg., 95, 492.
13.
ShoemakerW., LimL., BoydD., CorleyR., ReinhardJ., DreilingD., and KarkA. (1971): “Sequential haemodynamic events after trauma in the unaesthetised patient”, Surg., Cynec., Obstet., 132, 651.
14.
StraubN. C., NaganoH., and PearceM. L. (1967): “Acute pulmonary oedema in dogs, especially the sequence of fluid accumulation in the lungs”, J. Appl. Physiol., 22, 227.