Hemodynamic compromise associated with air trapping following coronary artery bypass surgery.
Cardiovascular collapse due to pulmonary hyperinflation was noted in a patient with chronic obstructive pulmonary disease following median sternotomy for cardiac surgery. Treatment included bronchodilator therapy to reduce airway obstruction, limitation of minute ventilation, and increasing time available for exhalation. High inspiratory flow rates and expiratory retard may be beneficial.
Dries
D J
DJ
Department of Surgery, Loyola University Medical Center, Chicago.
Mathru
M
M
Salem
R
R
Rao
T
T
Montoya
A
A
D000208:Acute Disease; D000368:Aged; D000388:Air; D001919:Bradycardia / Q000209:etiology / Q000503:physiopathology; D001026:Coronary Artery Bypass / Q000009:adverse effects*; D005260:Female; D006439:Hemodynamics; D006801:Humans; D007022:Hypotension / Q000209:etiology / Q000503:physiopathology; D008168:Lung / Q000503:physiopathology; D011652:Pulmonary Circulation