| Effect of Recruiting Maneuvers in a Patient with Acute Lung Injury after Femoral Nailing: A case report. |
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Hee Jung Baik, Youn Jin Kim, Jong Hak Kim, Jeong Eun Sohn |
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Department of Anesthesiology and Pain Medicine, School of Mediciane, Ewha Womans University, Seoul, Korea. baikhj@ewha.ac.kr |
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| Abstract |
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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. |
| Key Words:
acute lung injury; femoral intramedullary nailing; recruitment maneuvers |
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