Article ID Journal Published Year Pages File Type
2768202 Revista Española de Anestesiología y Reanimación 2016 6 Pages PDF
Abstract
A case is presented on a patient who underwent left single lung transplantation for emphysema type COPD. There was early graft dysfunction grade iii during the immediate postoperative period, which required the implantation of an extracorporeal membrane oxygenator (ECMO). Respirator ventilatory parameters were adjusted to avoid lung distension, low tidal volume (Vc) (280 ml), high respiratory rates (20 rpm), and a positive pressure at end expiration (PEEP) level of 8 cmH2O. On monitoring the pulmonary tidal volume distribution by bedside electrical impedance tomography (EIT), it was noted that most of the tidal volume was distributed in the native lung emphysema. An alveolar recruitment manoeuvre was performed, under control of the EIT, that enabled the current volume and distribution and the pressures required to ventilate the transplanted lung to be observed.
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