• Atelectasis

    (Collapsed Lung)

    Definition

    Atelectasis is a condition where a portion of the lung has collapsed or is not able to completely expand. Normally, oxygen enters the body through the lungs. Carbon dioxide is released through the lungs. The lungs expand and contract to create the exchange of these gases. Atelectasis is not a disease, but a condition or sign that results from disease or abnormalities in the body.
    The Lungs (Cut-away View)
    Nucleus factsheet image
    Copyright © Nucleus Medical Media, Inc.

    Causes

    Causes include:
    • Fluid in or around the lungs
    • Infection
    • Blockage of airways in the lungs due to tumors, mucus, or a foreign object
    • Compression, resulting from emphysema , an enlarged heart, or a tumor
    • Restricted chest movement, due to bone or muscle problems, or recent abdominal surgery
    • Scarring, as a result of radiation therapy , frequent infections, or disease
    • Injuries
    • Pneumothorax (leakage of air into the space surrounding the lungs)
    • Lung immaturity in premature babies

    Risk Factors

    Factors that increase your chance for atelectasis include:

    Symptoms

    A collapsed lung may or may not cause symptoms. Small areas of collapse are less likely than larger areas to cause symptoms. Major atelectasis decreases the amount of oxygen available throughout the body.
    Symptoms that may occur if a large area has collapsed include:
    • Rapid breathing
    • Shortness of breath
    • Taking shallow breaths
    • Coughing
    • Decreased chest movement during breathing
    • Mild fever
    • Rapid heart rate
    • Chest pain
    • Blueness of the lips or nails

    Diagnosis

    The doctor will ask about your symptoms and medical history. A physical exam will be done. This may include listening to your lungs for changes in the normal sounds.
    Your doctor may need images of your lungs. This can be done with a chest x-ray .
    Your doctor may need to examine your lungs and air passages. This can be done with a bronchoscopy .
    Your doctor may also need to do additional tests to check your heart, blood vessels, and airways.

    Treatment

    Treatment focuses on treating the underlying cause and maintaining enough air supply. The collapsed lung usually expands after the underlying cause has been corrected. Atelectasis often resolves on its own without treatment.
    Treatments include:

    Physical Therapy

    The therapist uses different techniques to help clear mucus from the lung. You will be positioned so that gravity helps secretions flow out of the body. When resting in bed, lie on the unaffected side to promote drainage from the lung area that has collapsed.

    Respiratory Therapy

    This may include any or all of the following:
    • Breathing masks or treatments to help keep your airways open
    • Incentive spirometry to help you learn to take deeper breaths
    • Suction to help remove secretions
    • A breathing machine, called a ventilator, if you are unable to breathe adequately on your own

    Medication

    Medications may include:
    • Drugs to open the airways
    • Drugs to treat the disease that caused the collapse
    • Antibiotics to treat an infection
    • Cardiac drugs to control heart disease
    • Inhalers and other drugs to manage asthma or emphysema
    • Oxygen, if you are having trouble breathing

    Bronchoscopy

    Bronchoscopy may be used to remove a foreign body or mucus that is blocking the airway.

    Prevention

    Measures to prevent atelectasis are related to the various causes. They include:
    • If you smoke, stop.
    • If you are obese, lose weight.
    • If you have a chronic lung or heart condition, follow your doctor's advice to manage the disease and limit complications.
    • After surgery, follow instructions for deep breathing, coughing, and turning. Ask for pain medication if discomfort is limiting movement or coughing.

    RESOURCES

    American Lung Association http://www.lungusa.org/

    National Heart Lung and Blood Institute http://www.nhlbi.nih.gov/

    CANADIAN RESOURCES

    The Canadian Lung Association http://www.lung.ca/

    Health Canada http://www.hc-sc.gc.ca

    References

    Behrman RE, et al. Nelson Textbook of Pediatrics . 18th ed. Philadelphia: Saunders, 2007.

    Goldman L, Ausiello D, eds. Cecil Textbook of Internal Medicine . 23rd ed. Philadelphia: Saunders, 2008.

    Mason, RJ et al. Murray & Nadel’s Textbook of Respiratory Medicine . 4th ed. Philadelphia: Saunders, 2007.

    Revision Information

  • Join WellZones today.

    Make a Change For LifeLearn more

    Wellmont LiveWell is creating a new tradition of wellness in the mountains by providing individuals with tools and encouragement to live healthier lifestyles.

  • HeartSHAPE Spotlight

    At risk for a heart attack? Learn more

    Fight heart disease early and prevent heart attacks with HeartSHAPE® - a painless, non-invasive test that takes pictures of your heart to scan for early-stage coronary disease.

  • Calories and Energy Needs

    Calorie NeedsLearn more

    How many calories do you need to eat each day to maintain your weight and fuel your physical activity? Enter a few of your stats into this calculator to find out.

  • Ideal Body Weight

    Ideal Body WeightLearn more

    Using body mass index as a reference, this calculator determines your ideal body weight range. All you need to do is enter your height.

  • Body Mass Index

    Body Mass IndexLearn more

    This tool considers your height and weight to assess your weight status.


  • Can we help answer your questions?

    Wellmont Nurse Connection is your resource for valuable health information any time, 24 hours a day, seven days a week. Speak to a Nurse any time, day or night, at (423) 723-6877 or toll-free at 1-877-230-NURSE.