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Images in Intensive Medicine
High-flow oxygen therapy in single lung transplant for COPD
Terapia de alto flujo de oxígeno en trasplante pulmonar simple por EPOC
Ignacio Fernández Ceballos
Corresponding author
, Indalecio Carboni Bisso, Marcos J. Las Heras
Critical Care Department, Hospital Italiano de Buenos Aires, Argentina
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    "textoCompleto" => "<span class="elsevierStyleSections"><p id="par0005" class="elsevierStylePara elsevierViewall">A 61-year-old patient with a history of COPD was in the postoperative phase of a right single lung transplant&#44; requiring a high-flow oxygen cannula due to acute hypoxemic respiratory failure&#46; An electrical impedance tomography &#40;Pulmovista V500 - Dr&#228;ger&#44; Germany&#41; was used to assess regional changes in tidal ventilation and end-expiratory lung volume &#40;EELV&#41;&#46; An inspiratory flow rate of 60<span class="elsevierStyleHsp" style=""></span>L&#47;min and an inspired oxygen fraction of 0&#46;4 were employed&#46; <a class="elsevierStyleCrossRef" href="#fig0005">Fig&#46; 1</a> shows the changes in VT before and after the use of HFNC&#46; In the non-transplanted lung&#44; an increase in aeration is observed due to regional elevation of EELV &#40;blue area&#41; caused by increased expiratory resistance&#44; leading to air trapping and alveolar overdistension &#40;orange area&#41;&#46; Consequently&#44; expiratory time constants were prolonged &#40;<a class="elsevierStyleCrossRef" href="#fig0010">Fig&#46; 2</a>&#41;&#46;</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia><elsevierMultimedia ident="fig0010"></elsevierMultimedia><span id="sec0005" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0005">Financial support</span><p id="par0010" class="elsevierStylePara elsevierViewall">This research did not receive any specific grant from funding agencies in the public&#44; commercial&#44; or not-for-profit sectors&#46;</p></span><span id="sec0010" class="elsevierStyleSection elsevierViewall"><span class="elsevierStyleSectionTitle" id="sect0010">Conflicts of interest</span><p id="par0015" class="elsevierStylePara elsevierViewall">None&#46;</p></span></span>"
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Article information
ISSN: 21735727
Original language: English
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