OBJECTIVE: 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. METHOD: Case-report. RESULTS: The alveolar recruitment with PEEP = 40 cm H2O improved the patient's atelectasis and hypoxemia. CONCLUSION: 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.
OBJECTIVE: 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. METHOD: Case-report. RESULTS: The alveolar recruitment with PEEP = 40 cm H2O improved the patient's atelectasis and hypoxemia. CONCLUSION: 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.
Authors: João B Borges; Valdelis N Okamoto; Gustavo F J Matos; Maria P R Caramez; Paula R Arantes; Fabio Barros; Ciro E Souza; Josué A Victorino; Robert M Kacmarek; Carmen S V Barbas; Carlos R R Carvalho; Marcelo B P Amato Journal: Am J Respir Crit Care Med Date: 2006-05-11 Impact factor: 21.405
Authors: Tais Felix Szeles; Eduardo Muracca Yoshinaga; Wellington Alenca; Marcio Brudniewski; Flávio Silva Ferreira; José Otavio Costa Júnior Auler; Maria José Carvalho Carmona; Luiz Marcelo Sá Malbouisson Journal: Rev Bras Anestesiol Date: 2008 Mar-Apr Impact factor: 0.964
Authors: José Otávio Costa Auler Junior; Emília Nozawa; Eliane Kobayashi Toma; Karin Lika Degaki; Maria Ignêz Zanetti Feltrim; Luiz Marcelo Sá Malbouisson Journal: Rev Bras Anestesiol Date: 2007-10 Impact factor: 0.964