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  • Title: Alveolar recruitment maneuver in refractory hypoxemia and lobar atelectasis after cardiac surgery: a case report.
    Author: Herbst-Rodrigues MV, Carvalho VO, Abrahao LH, Nozawa E, Feltrim MI, Gomes-Galas FR.
    Journal: J Cardiothorac Surg; 2012 Jun 22; 7():58. PubMed ID: 22726992.
    Abstract:
    OBJECTIVE: This case report describes an unusual presentation of right upper lobe atelectasis associated with refractory hypoxemia to conventional alveolar recruitment maneuvers in a patient soon after coronary artery bypass grafting surgery. METHOD: Case-report. RESULTS: The alveolar recruitment with PEEP = 40 cm H2O improved the patient's atelectasis and hypoxemia. CONCLUSION: In the present report, the unusual alveolar recruitment maneuver with PEEP 40 cm H2O showed to be safe and efficient to reverse refractory hypoxemia and uncommon atelectasis in a patient after cardiac surgery.
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