• Rev Esp Anestesiol Reanim · Jul 1991

    [Intrinsic PEEP as a ventilation complication after pneumonectomy].

    • T Pintanel, J Klamburg, P Torrabadella, and M Font.
    • Servicio de Anestesiología, Hospital Germans Trias i Pujol, Badalona, Barcelona.
    • Rev Esp Anestesiol Reanim. 1991 Jul 1; 38 (4): 257-60.

    AbstractWe report the case of a female patient who developed a clinical picture characterized by hemodynamic deterioration, bradycardia and asystole due to pulmonary hyperinsufflation (documented by X-ray examination) during the immediate postoperative phase of a right pneumonectomy. Occlusion of the respiratory limb of the respirator was followed by a positive pressure at the end of the respiration (PEEP) suggesting the presence of an intrinsic PEEP independent of the respirator. Application of a PEEP to the respirator induced a radiologic improvement. The mechanisms by which an intrinsic PEEP may develop are discussed.

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