title: Unilateral auto-PEEP in the recipient of a single lung transplant.
abstract: We report a patient who received a right single lung transplant (SLT) for progressive lymphangioleiomyomatosis and required reintubation for postoperative respiratory distress. She developed hemodynamic instability due to mediastinal shift from unilateral auto-PEEP with hyperinflation of the native lung. Placement of a double lumen endotracheal tube (DLET) and institution of differential lung ventilation restored equal lung inflation and hemodynamic stability.
authors.affiliation: Department of Cardiothoracic Anesthesia, Cleveland Clinic Foundation.
authors.forename: C
authors.initials: C
authors.lastname: Popple
authors.forename: T L
authors.initials: TL
authors.lastname: Higgins
authors.forename: P
authors.initials: P
authors.lastname: McCarthy
authors.forename: A
authors.initials: A
authors.lastname: Baldyga
authors.forename: A
authors.initials: A
authors.lastname: Mehta
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D007442:Intubation, Intratracheal / Q000295:instrumentation / Q000379:methods; D008168:Lung / Q000503:physiopathology*; D008175:Lung Neoplasms / Q000601:surgery; D016040:Lung Transplantation / Q000502:physiology*; D008203:Lymphangiomyoma / Q000601:surgery; D011175:Positive-Pressure Respiration / Q000009:adverse effects / Q000379:methods*; D001261:Pulmonary Atelectasis / Q000628:therapy; D012121:Respiration, Artificial / Q000379:methods; D012131:Respiratory Insufficiency / Q000628:therapy*