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A 23-year-old man with left lung atelectasis treated with a targeted segmental recruitment maneuver: a case report
A 23-year-old man with left lung atelectasis treated with a targeted segmental recruitment maneuver: a case report
- Source :
- Journal of Medical Case Reports, Volume 14, Issue 1, Journal of Medical Case Reports, Vol 14, Iss 1, Pp 1-5 (2020)
- Publication Year :
- 2020
-
Abstract
- Background Lung atelectasis are nonventilated parts of lung tissue and occur as a result of the collapse of the pulmonary parenchyma (alveoli). Various therapeutic procedures for inflating the collapsed pulmonary parenchyma, such as bronchial aspiration and/or standard recruitment maneuvers, are not always successful. Case presentation We report a case of a 23-year-old Croatian man with a parapharyngeal abscess on the left side of the neck with spreading of infection in the mediastinum and left side of the thorax and consequent major atelectasis of the left lung. The patient was mechanically ventilated. We decided to apply a new method in which a pulmonary artery catheter was placed (guided by bronchoscope) on the entrance to the lower left bronchus. The pulmonary artery catheter balloon was inflated to achieve bronchial closure. Using another respirator, we ventilated the affected lobe separately with continuously high pressure of 30 cmH2O. After 30 minutes, we removed the pulmonary artery catheter from the lower left bronchus and placed it in the upper left bronchus and repeated the procedure. Our method allowed a significantly longer duration (30 minutes) of continuously high pressure of 30 cmH2O separately to only one of the total of five lobes of the lungs while the other four lobes were simultaneously ventilated continuously with protective ventilation mode. Conclusion Use of a pulmonary artery catheter and two respirators in our patient’s case proved to be a successful method for recruiting the atelectatic lung while maintaining protective ventilation of the lung segments without atelectasis.
- Subjects :
- Thorax
Male
medicine.medical_specialty
Pulmonary Atelectasis
Catheters
Prolonged recruitment
Lung atelectasis
medicine.medical_treatment
lcsh:Medicine
Atelectasis
Case Report
030204 cardiovascular system & hematology
Balloon
Positive-Pressure Respiration
03 medical and health sciences
Young Adult
0302 clinical medicine
Recruitment maneuver
Bronchoscopy
medicine
Humans
BIOMEDICINA I ZDRAVSTVO. Kliničke medicinske znanosti. Intenzivna medicina
Lung atelectasis, Segmental recruitment, Prolonged recruitment
Left lung
Lung
business.industry
lcsh:R
Pulmonary artery catheter
Mediastinum
General Medicine
Balloon Occlusion
respiratory system
medicine.disease
Surgery
respiratory tract diseases
medicine.anatomical_structure
BIOMEDICINE AND HEALTHCARE. Clinical Medical Sciences. Intensive Care
030220 oncology & carcinogenesis
business
Segmental recruitment
Subjects
Details
- Language :
- English
- ISSN :
- 17521947
- Database :
- OpenAIRE
- Journal :
- Journal of Medical Case Reports, Volume 14, Issue 1, Journal of Medical Case Reports, Vol 14, Iss 1, Pp 1-5 (2020)
- Accession number :
- edsair.doi.dedup.....b52b80d24383e1ff56c5dc66f7f2e0e1
- Full Text :
- https://doi.org/10.1186/s13256-020-02409-6