Korean J Anesthesiol.  2007 Jun;52(6):S91-S94. 10.4097/kjae.2007.52.6.S91.

Effect of Recruiting Maneuvers in a Patient with Acute Lung Injury after Femoral Nailing: A case report

• Baik HJ
• Kim YJ
• Kim JH
• Sohn JE

• KMID: 2299192
• DOI: http://doi.org/10.4097/kjae.2007.52.6.S91

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.

Keyword

acute lung injury; femoral intramedullary nailing; recruitment maneuvers

MeSH Terms

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
Oxygen