
A successful new method for single left lobe recruitment
Author(s) -
Dybwik Knut,
Nielsen Erik W.
Publication year - 2018
Publication title -
clinical case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.21
H-Index - 9
ISSN - 2050-0904
DOI - 10.1002/ccr3.1787
Subject(s) - medicine , sedation , diaphragm (acoustics) , endotracheal tube , intensive care unit , left main bronchus , anesthesia , compliance (psychology) , breathing , intensive care medicine , mechanical ventilation , lung , intubation , psychology , social psychology , physics , acoustics , loudspeaker
Key Clinical Message Any gas will flow down the path of least resistance and highest compliance. This is a problem in the treatment of severe unilateral lung disease in the intensive care unit ( ICU ). Deep sedation interferes with the diaphragm's ability to distribute air into the lower lung. Spontaneous breathing in a conscious patient, in combination with mechanical ventilation via an endotracheal tube inserted into the left main stem bronchus, can recruit collapsed alveoli.