Department of Thoracic Surgery, Ajaccio Teaching Hospital, Ajaccio, France
Case Report
Synchronous Differential Independent Lung Ventilation Scenario: A Clinical Challenge
Author(s): Reda El Bayoumy* and Mathieu Besnard
Perioperative complications following lung resection are common and pose massive challenges to anesthesiologists in
terms of mechanical ventilation management.
Continuous air leak can arise following lung decortication and resection which could mimic clinically a Broncho-
Pleural Fistula (BPF) albeit it is not true BPF; however, clinically it resembles BPF in terms of sudden loss of positive
end-expiratory pressure and tidal volume associated with severe refractory hypoxemia following the end of single-lung
ventilation.
Here we present a 62-year-old man who experienced septic shock and acute respiratory failure due to massive left
empyema and lung collapse. The patient underwent surgical left empyema drainage and lung decortication... View more»