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Unilateral Lung Recruitment Maneuver for Massive Atelectasis in a Child With Glenn Circulation: A Case Report

Kimura, Yoshikazu MD*; Kanazawa, Tomoyuki MD, PhD*; Kuroe, Yasutoshi MD*; Tani, Makiko MD, PhD*; Shimizu, Kazuyoshi MD, PhD*; Iwasaki, Tatsuo MD, PhD; Morimatsu, Hiroshi MD, PhD*

doi: 10.1213/XAA.0000000000001101
Case Reports
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A 9-year-old girl with Glenn circulation suffered from massive atelectasis of the left lung caused by bleeding during cardiac catheterization. The atelectasis resulted in frequent hypoxia leading to oxygen saturation (Spo2) of 40%–50%. In the intensive care unit, we performed a unilateral lung recruitment maneuver (ULRM) for 2 days. The ULRM involved placement of a bronchial blocker in the right main bronchus and application of continuous positive airway pressure to the left lung without hemodynamic deterioration. Eventually, Spo2 improved to 80%–85%. ULRM can be a treatment option for unilateral atelectasis in a child with Glenn circulation.

From the Departments of *Anesthesiology and Resuscitology

Pediatric Anesthesiology and Resuscitology, Okayama University Hospital, Okayama, Japan.

Accepted for publication August 22, 2019.

Funding: None.

The authors declare no conflicts of interest.

Address correspondence to Tomoyuki Kanazawa, MD, PhD, Department of Anesthesiology and Resuscitology, Okayama University Hospital, 2-5-1 Shikata-cho, Kita-ku, Okayama-city, Okayama, Japan 7008558. Address e-mail to tyskanazawa@gmail.com.

Copyright © 2019 International Anesthesia Research Society
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