Alveolar recruitment maneuver in refractory hypoxemia and

J Cardiothorac Surg · Jan 2012

Case Reports

Alveolar recruitment maneuver in refractory hypoxemia and lobar atelectasis after cardiac surgery: a case report.

This case report describes an unusual presentation of right upper lobe atelectasis associated with refractory hypoxemia to conventional alveolar recruitment maneuvers in a patient soon after coronary artery bypass grafting surgery. ⋯ In the present report, the unusual alveolar recruitment maneuver with PEEP 40 cm H2O showed to be safe and efficient to reverse refractory hypoxemia and uncommon atelectasis in a patient after cardiac surgery.

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- Marcus Vinicius Herbst-Rodrigues, Vitor Oliveira Carvalho, Ludhmila Hajjar Abrahao, Emilia Nozawa, Maria Ignez Zanetti Feltrim, and Filomena Regina Barbosa Gomes-Galas.
- Physiotherapy Department, Heart Institute (InCor), University of Sao Paulo Medical School, Sao Paulo, Brazil. marcus@fisiorespiratoria.com.br
- J Cardiothorac Surg. 2012 Jan 1;7:58.
ObjectiveThis case report describes an unusual presentation of right upper lobe atelectasis associated with refractory hypoxemia to conventional alveolar recruitment maneuvers in a patient soon after coronary artery bypass grafting surgery.MethodCase-report.ResultsThe alveolar recruitment with PEEP = 40 cm H2O improved the patient's atelectasis and hypoxemia.ConclusionIn the present report, the unusual alveolar recruitment maneuver with PEEP 40 cm H2O showed to be safe and efficient to reverse refractory hypoxemia and uncommon atelectasis in a patient after cardiac surgery.

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Alveolar recruitment maneuver in refractory hypoxemia and lobar atelectasis after cardiac surgery: a case report.

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