Antonio Romero Berrocal
University Hospital Puerta de Hierro-Majadahonda, Madrid, Spain
Title: Respiratory monitoring with electrical impedance tomography for lung protective ventilation and alveolar recruitment maneuver in a patient with a single lung transplant and early graft dysfunction
Biography
Biography: Antonio Romero Berrocal
Abstract
Case Report
This is a patient who underwent left single lung transplantation for emphysema type COPD. During the immediate postoperative period came early graft dysfunction grade III, which necessitated the implantation of an ECMO (extracorporeal membrane oxygenator). Respirator ventilatory parameters were adjusted to avoid lung distension, low tidal volume (Vc) (280 ml), high respiratory rates (20 rpm) and a level of PEEP (positive pressure at end expiration) 8 cmH2O. By monitoring pulmonary tidal volume distribution Electrical Impedance Tomography (EIT), bedside, we note that most of the tidal volume was distributed in the native lung emphysema. Alveolar recruitment maneuver under control of the EIT allowed to observe the volume and distribution of current which were necessary to ventilate the lung transplant was performed pressures.