外科と麻酔のジャーナル

概要

Synchronous Differential Independent Lung Ventilation Scenario: A Clinical Challenge

Reda El Bayoumy*, Mathieu Besnard

Perioperative complications following lung resection are common and pose massive challenges to anesthesiologists in terms of mechanical ventilation management.

Continuous air leak can arise following lung decortication and resection which could mimic clinically a Broncho- Pleural Fistula (BPF) albeit it is not true BPF; however, clinically it resembles BPF in terms of sudden loss of positive end-expiratory pressure and tidal volume associated with severe refractory hypoxemia following the end of single-lung ventilation.

Here we present a 62-year-old man who experienced septic shock and acute respiratory failure due to massive left empyema and lung collapse. The patient underwent surgical left empyema drainage and lung decortication.