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Quick Medical Diagnosis & Treatment Respiratory Failure, Acute Sections: Key Features, Essentials of Diagnosis, General Considerations, Clinical Findings, Diagnosis, Treatment, General supportive care, Respiratory support, Outcome, Complications of mechanical ventilation, Prognosis, References. Excerpt: | | Atelectasis of the contralateral lung and overdistention of the intubated lung can be caused by migration of the tip of the endotracheal tube into a main bronchus
Barotrauma, manifested by subcutaneous emphysema, pneumomediastinum, subpleural air cysts, pneumothorax, or systemic gas embolism, may occur in patients whose lungs are overdistended by excessive tidal volumes
Subtle parenchymal lung injury due to overdistention of alveoli is another potential hazard
Strategies to avoid barotrauma include deliberate hypoventilation through the use of low mechanical tidal volumes and respiratory rates, resulting in "permissive hypercapnia"
Acute respiratory alkalosis caused by overventilation is common
Hypotension induced by elevated intrathoracic pressure that results in decreased return of systemic..."
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