[Ventilation in prone decubitus in a patient with respiratory distress during heart surgery].
Acute respiratory failure and adult respiratory distress syndrome are serious complications after heart surgery and are associated with a high mortality rate. We report the case of a 50-year-old man who developed severe respiratory distress after heart surgery with extracorporeal circulation and for whom oxygenation was possible with ventilation in prone decubitus position only after other therapeutic measured had failed. The physiological bases of ventilation in prone decubitus position, as well as the indications and contraindications of the technique are discussed. Early treatment, which is fundamental for managing these patients, facilitates a favorable outcome as is illustrated by the case we report.
Rama-Maceiras
P
P
Servicio de Anestesiología, Reanimación y Terapéutica del Dolor, Complejo Hospitalario Juan Canalejo, La Coruña.
Duro
J
J
Figueira-Moure
A
A
Rey-Rilo
T
T
Toral
A
A
Rodríguez-Rodríguez
A
A
D002316:Cardiotonic Agents / Q000627:therapeutic use; D003131:Combined Modality Therapy; D000075202:Contraindications; D004232:Diuretics / Q000627:therapeutic use; D004298:Dopamine / Q000627:therapeutic use; D005665:Furosemide / Q000627:therapeutic use; D006439:Hemodynamics; D006801:Humans; D007231:Infant, Newborn; D007387:Internal Mammary-Coronary Artery Anastomosis; D008297:Male; D008875:Middle Aged; D018467:Positive-Pressure Respiration, Intrinsic / Q000628:therapy; D011183:Postoperative Complications / Q000188:drug therapy / Q000628:therapy*; D016684:Prone Position; D001261:Pulmonary Atelectasis / Q000209:etiology / Q000503:physiopathology; D012121:Respiration, Artificial / Q000379:methods*; D012127:Respiratory Distress Syndrome, Newborn / Q000188:drug therapy / Q000628:therapy*; D014692:Ventilation-Perfusion Ratio
D002316:Cardiotonic Agents; D004232:Diuretics; D005665:Furosemide; D004298:Dopamine