Case report: Post-thoracoscopy pendelluft monitoring

Asynchronous alveolar ventilation is called pendelluft, which may induce lung injury in spontaneously breathing patients. We report a case that electrical impedance tomography (EIT) was used to assess the pendelluft in a post-thoracoscopy patient. The pendelluft amplitude was as high as 77.5% of the...

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Main Authors: Zhibin Xiao, Na Zhang, Xiajing Zhang, Wenjun Lu, Changjun Gao, Xude Sun
Format: Article
Language:English
Published: Frontiers Media S.A. 2023-03-01
Series:Frontiers in Medicine
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fmed.2022.1108637/full
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author Zhibin Xiao
Zhibin Xiao
Na Zhang
Xiajing Zhang
Wenjun Lu
Changjun Gao
Xude Sun
author_facet Zhibin Xiao
Zhibin Xiao
Na Zhang
Xiajing Zhang
Wenjun Lu
Changjun Gao
Xude Sun
author_sort Zhibin Xiao
collection DOAJ
description Asynchronous alveolar ventilation is called pendelluft, which may induce lung injury in spontaneously breathing patients. We report a case that electrical impedance tomography (EIT) was used to assess the pendelluft in a post-thoracoscopy patient. The pendelluft amplitude was as high as 77.5% of the tidal variation. The average regional time shift was 0.5 s. The patient was instructed to adjust the breathing method, symptomatic treatment was performed, and the symptoms were improved. This is the first case reporting pendelluft in a post-thoracoscopy patient. Our case demonstrated that (1) pendelluft may occur in post-thoracoscopy patients and it effects lung function, and (2) early identification of affected patients and implementation of corresponding treatments could improve patient outcomes.
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spelling doaj.art-0a83ba583633468380b296044a0a21812023-03-02T05:34:57ZengFrontiers Media S.A.Frontiers in Medicine2296-858X2023-03-01910.3389/fmed.2022.11086371108637Case report: Post-thoracoscopy pendelluft monitoringZhibin Xiao0Zhibin Xiao1Na Zhang2Xiajing Zhang3Wenjun Lu4Changjun Gao5Xude Sun6Department of Anesthesiology, The Second Affiliated Hospital of Air Force Medical University, Xi'an, Shaanxi, ChinaDepartment of Anesthesiology, The 986th Air Force Hospital, Xijing Hospital, The Air Force Medical University, Xi'an, Shaanxi, ChinaDepartment of Thoracic Surgery, The Second Affiliated Hospital of Air Force Medical University, Xi'an, Shaanxi, ChinaInstitute of Medical Research, Northwestern Polytechnical University, Xi'an, Shaanxi, ChinaDepartment of Anesthesiology, The Second Affiliated Hospital of Air Force Medical University, Xi'an, Shaanxi, ChinaDepartment of Anesthesiology, The Second Affiliated Hospital of Air Force Medical University, Xi'an, Shaanxi, ChinaDepartment of Anesthesiology, The Second Affiliated Hospital of Air Force Medical University, Xi'an, Shaanxi, ChinaAsynchronous alveolar ventilation is called pendelluft, which may induce lung injury in spontaneously breathing patients. We report a case that electrical impedance tomography (EIT) was used to assess the pendelluft in a post-thoracoscopy patient. The pendelluft amplitude was as high as 77.5% of the tidal variation. The average regional time shift was 0.5 s. The patient was instructed to adjust the breathing method, symptomatic treatment was performed, and the symptoms were improved. This is the first case reporting pendelluft in a post-thoracoscopy patient. Our case demonstrated that (1) pendelluft may occur in post-thoracoscopy patients and it effects lung function, and (2) early identification of affected patients and implementation of corresponding treatments could improve patient outcomes.https://www.frontiersin.org/articles/10.3389/fmed.2022.1108637/fullelectrical impedance tomographypendelluftpost-thoracoscopylung injurypulmonary ventilation
spellingShingle Zhibin Xiao
Zhibin Xiao
Na Zhang
Xiajing Zhang
Wenjun Lu
Changjun Gao
Xude Sun
Case report: Post-thoracoscopy pendelluft monitoring
Frontiers in Medicine
electrical impedance tomography
pendelluft
post-thoracoscopy
lung injury
pulmonary ventilation
title Case report: Post-thoracoscopy pendelluft monitoring
title_full Case report: Post-thoracoscopy pendelluft monitoring
title_fullStr Case report: Post-thoracoscopy pendelluft monitoring
title_full_unstemmed Case report: Post-thoracoscopy pendelluft monitoring
title_short Case report: Post-thoracoscopy pendelluft monitoring
title_sort case report post thoracoscopy pendelluft monitoring
topic electrical impedance tomography
pendelluft
post-thoracoscopy
lung injury
pulmonary ventilation
url https://www.frontiersin.org/articles/10.3389/fmed.2022.1108637/full
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