Effect of Recruiting Maneuvers in a Patient with Acute Lung Injury after Femoral Nailing: A case report.
10.4097/kjae.2007.52.6.S91
- Author:
Hee Jung BAIK
1
;
Youn Jin KIM
;
Jong Hak KIM
;
Jeong Eun SOHN
Author Information
1. Department of Anesthesiology and Pain Medicine, School of Mediciane, Ewha Womans University, Seoul, Korea. baikhj@ewha.ac.kr
- Publication Type:Case Report
- Keywords:
acute lung injury;
femoral intramedullary nailing;
recruitment maneuvers
- MeSH:
Acute Lung Injury*;
Continuous Positive Airway Pressure;
Fracture Fixation, Intramedullary;
Humans;
Hypotension;
Lung;
Oxygen;
Positive-Pressure Respiration;
Respiratory Distress Syndrome, Adult;
Rupture;
Tidal Volume;
Ventilation
- From:Korean Journal of Anesthesiology
2007;52(6):S91-S94
- CountryRepublic of Korea
- Language:English
-
Abstract:
Recruitment maneuvers have been increasingly used to reverse the alveolar derecruitment associated with low tidal volume ventilation in patients with acute lung injury and acute respiratory distress syndrome. We report a case of improved oxygenation without hypotension or lung rupture, due to an early application of recruitment maneuvers (40 cmH2O of continuous positive airway pressure for 40 s, three times [at 4.5 h, 5 h, 7 h], guided by pulse oximetry) followed by a mechanical pressure controlled ventilation with 20 cmH2O of positive end-expiratory pressure in acute lung injury after femoral intramedullary nailing.
