Unilateral Lung Recruitment Maneuver for Massive Atelectasis in a Child With Glenn Circulation: A Case Report
| Autor: | Hiroshi Morimatsu, Tatsuo Iwasaki, Tomoyuki Kanazawa, Yoshikazu Kimura, Kazuyoshi Shimizu, Makiko Tani, Yasutoshi Kuroe |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
Cardiac Catheterization
Pulmonary Atelectasis medicine.medical_treatment Hemodynamics Atelectasis Fontan Procedure Intensive Care Units Pediatric law.invention law Humans Medicine Continuous positive airway pressure Child Cardiac catheterization Noninvasive Ventilation business.industry General Medicine respiratory system Hypoxia (medical) medicine.disease Bronchial blocker Intensive care unit respiratory tract diseases Treatment Outcome Right Main Bronchus Anesthesia Female medicine.symptom Pulmonary Ventilation business |
| Zdroj: | A&A Practice. 13:430-432 |
| ISSN: | 2575-3126 |
| Popis: | A 9-year-old girl with Glenn circulation suffered from massive atelectasis of the left lung caused by bleeding during cardiac catheterization. The atelectasis resulted in frequent hypoxia leading to oxygen saturation (SpO2) of 40%-50%. In the intensive care unit, we performed a unilateral lung recruitment maneuver (ULRM) for 2 days. The ULRM involved placement of a bronchial blocker in the right main bronchus and application of continuous positive airway pressure to the left lung without hemodynamic deterioration. Eventually, SpO2 improved to 80%-85%. ULRM can be a treatment option for unilateral atelectasis in a child with Glenn circulation. |
| Databáze: | OpenAIRE |
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