Unilateral auto-PEEP in the recipient of a single lung transplant.
case_report · Level V
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Abstract
We report a patient who received a right single lung transplant (SLT) for progressive lymphangioleiomyomatosis and required reintubation for postoperative respiratory distress. She developed hemodynamic instability due to mediastinal shift from unilateral auto-PEEP with hyperinflation of the native lung. Placement of a double lumen endotracheal tube (DLET) and institution of differential lung ventilation restored equal lung inflation and hemodynamic stability.
Medical subject headings
- Lung
- Lung Transplantation
- Positive-Pressure Respiration
- Respiratory Insufficiency