Akademik Veri Yönetim Sistemi
Anestezi Dergisi, cilt.15, sa.4, ss.270-273, 2007 (Scopus)
We aim to report the case of a patient with acute life threatening intraoperative atelectasis after the induction of general anesthesia. A 43-year-old man was presented for operation under general anesthesia due to L2 burst fracture. The patient's history indicated habitual smoking, copious sputum and inadequate mobilization due to pain. Ventilation difficulty, increased peak airway pressure and a sudden decrease in peripheral oxygen saturation were noticed 15-20 min after induction of anesthesia. The chest roentgenogram taken showed almost complete left lung atelectasis. We observed thick mucosal secretions during intratracheal lavage, so we continued to bronchial lavage until the secretions were reduced. In order to reexpand all previously collapsed lung tissue, recruitment manoeuvre was applied combined with PEEP increased in steps of 5 cmH2O up to a maximum of 15 cmH2O. After PEEP was decreased twice to obtain PEEP 5 cmH2O, it was observed that the patient's peripheral oxygen saturation was increased. A repeat chest roentgenogram showed significantly reduced atelectasis in the left lung. After it was seen in blood gas analysis that arterial oxygenation had improved, the patient was extubated and transferred to the intensive care unit.