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KMID : 0356920070520000091
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Korean Journal of Anesthesiology
2007 Volume.52 No. 0 p.91 ~ p.94
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Effect of Recruiting Maneuvers in a Patient with Acute Lung Injury after Femoral Nailing ?A case report?
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Baik Hee-Jung
Kim Youn-Jin
Kim Jong-Hak
Sohn Jeong-Eun
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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. (Korean J Anesthesiol 2007; 52: S 91∼4)
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KEYWORD
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acute lung injury, femoral intramedullary nailing, recruitment maneuvers
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