title: [Intrinsic PEEP as a ventilation complication after pneumonectomy].
abstract: We report the case of a female patient who developed a clinical picture characterized by hemodynamic deterioration, bradycardia and asystole due to pulmonary hyperinsufflation (documented by X-ray examination) during the immediate postoperative phase of a right pneumonectomy. Occlusion of the respiratory limb of the respirator was followed by a positive pressure at the end of the respiration (PEEP) suggesting the presence of an intrinsic PEEP independent of the respirator. Application of a PEEP to the respirator induced a radiologic improvement. The mechanisms by which an intrinsic PEEP may develop are discussed.
authors.affiliation: Servicio de Anestesiología, Hospital Germans Trias i Pujol, Badalona, Barcelona.
authors.forename: T
authors.initials: T
authors.lastname: Pintanel
authors.forename: J
authors.initials: J
authors.lastname: Klamburg
authors.forename: P
authors.initials: P
authors.lastname: Torrabadella
authors.forename: M
authors.initials: M
authors.lastname: Font
mesh_terms: D000230:Adenocarcinoma / Q000601:surgery; D000368:Aged; D001919:Bradycardia / Q000209:etiology* / Q000503:physiopathology; D005260:Female; D006323:Heart Arrest / Q000209:etiology* / Q000503:physiopathology; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery; D011013:Pneumonectomy; D011183:Postoperative Complications / Q000503:physiopathology*; D011654:Pulmonary Edema / Q000209:etiology / Q000503:physiopathology; D012123:Pulmonary Ventilation; D012121:Respiration, Artificial / Q000009:adverse effects*
vernacular_title: PEEP intrínseca como complicación ventilatoria en el postoperatorio de neumectomía.