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Ex Vivo Porcine Experimental Model for Studying and Teaching Lung Mechanics
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Alveolar recruitment maneuver in refractory hypoxemia and lobar atelectasis after cardiac surgery: a case report
Marcus Vinicius Herbst-Rodrigues1, Vitor Oliveira Carvalho, Ludhmila Hajjar Abrahao
1Physiotherapy Department, Heart Institute (InCor), University of Sao Paulo Medical School, Sao Paulo, Brazil. marcus@fisiorespiratoria.com.br
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.
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