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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Source
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3567961PMC
http://dx.doi.org/10.1186/1749-8090-7-58DOI Listing

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