{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,25]],"date-time":"2024-08-25T01:52:52Z","timestamp":1724550772591},"reference-count":7,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2020,6,24]],"date-time":"2020-06-24T00:00:00Z","timestamp":1592956800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2020,6,24]],"date-time":"2020-06-24T00:00:00Z","timestamp":1592956800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Med Case Reports"],"published-print":{"date-parts":[[2020,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n<jats:title>Background<\/jats:title>\n<jats:p>Lung atelectasis are nonventilated parts of lung tissue and occur as a result of the collapse of the pulmonary parenchyma (alveoli). Various therapeutic procedures for inflating the collapsed pulmonary parenchyma, such as bronchial aspiration and\/or standard recruitment maneuvers, are not always successful.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Case presentation<\/jats:title>\n<jats:p>We report a case of a 23-year-old Croatian man with a parapharyngeal abscess on the left side of the neck with spreading of infection in the mediastinum and left side of the thorax and consequent major atelectasis of the left lung. The patient was mechanically ventilated. We decided to apply a new method in which a pulmonary artery catheter was placed (guided by bronchoscope) on the entrance to the lower left bronchus. The pulmonary artery catheter balloon was inflated to achieve bronchial closure. Using another respirator, we ventilated the affected lobe separately with continuously high pressure of 30 cmH<jats:sub>2<\/jats:sub>O. After 30\u2009minutes, we removed the pulmonary artery catheter from the lower left bronchus and placed it in the upper left bronchus and repeated the procedure. Our method allowed a significantly longer duration (30\u2009minutes) of continuously high pressure of 30 cmH<jats:sub>2<\/jats:sub>O separately to only one of the total of five lobes of the lungs while the other four lobes were simultaneously ventilated continuously with protective ventilation mode.<\/jats:p>\n<\/jats:sec><jats:sec>\n<jats:title>Conclusion<\/jats:title>\n<jats:p>Use of a pulmonary artery catheter and two respirators in our patient\u2019s case proved to be a successful method for recruiting the atelectatic lung while maintaining protective ventilation of the lung segments without atelectasis.<\/jats:p>\n<\/jats:sec>","DOI":"10.1186\/s13256-020-02409-6","type":"journal-article","created":{"date-parts":[[2020,6,23]],"date-time":"2020-06-23T23:05:20Z","timestamp":1592953520000},"update-policy":"http:\/\/dx.doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["A 23-year-old man with left lung atelectasis treated with a targeted segmental recruitment maneuver: a\u00a0case report"],"prefix":"10.1186","volume":"14","author":[{"given":"Alen","family":"Proti\u0107","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matej","family":"Bura","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kazimir","family":"Juri\u010di\u0107","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2020,6,24]]},"reference":[{"key":"2409_CR1","doi-asserted-by":"publisher","first-page":"92","DOI":"10.1097\/00005382-199621000-00002","volume":"11","author":"JH Woodring","year":"1996","unstructured":"Woodring JH, Reed JC. Types and mechanisms of pulmonary atelectasis. J Thorac Imaging. 1996;11:92\u2013108.","journal-title":"J Thorac Imaging"},{"key":"2409_CR2","doi-asserted-by":"publisher","first-page":"29","DOI":"10.1016\/j.reaurg.2003.10.011","volume":"13","author":"JM Constantin","year":"2004","unstructured":"Constantin JM, Cayot S, Futier E, Bazin JE. Recruitment maneuvers in acute respiratory distress syndrome. Reanimation. 2004;13:29\u201336.","journal-title":"Reanimation."},{"key":"2409_CR3","doi-asserted-by":"publisher","first-page":"108","DOI":"10.1186\/cc10715","volume":"16","author":"D Protsenko","year":"2012","unstructured":"Protsenko D, Magomedov R, Ignatenko O, Yaroshetskiy AI, Gelfand B. Hemodynamics effects of recruitment maneuver. Crit Care. 2012;16:108.","journal-title":"Crit Care"},{"key":"2409_CR4","doi-asserted-by":"publisher","first-page":"2126","DOI":"10.1056\/NEJMra1208707","volume":"369","author":"AS Slutsky","year":"2013","unstructured":"Slutsky AS, Ranieri VM. Ventilator-induced lung injury. N Engl J Med. 2013;369:2126\u201336.","journal-title":"N Engl J Med"},{"key":"2409_CR5","doi-asserted-by":"publisher","first-page":"406","DOI":"10.1007\/s00134-001-1178-1","volume":"28","author":"G Thierry","year":"2002","unstructured":"Thierry G, Hospital HM, Cr\u00e9teil C. Relationship between ventilatory settings and barotrauma in the acute respiratory distress syndrome. Intensive Care Med. 2002;28:406\u201313.","journal-title":"Intensive Care Med"},{"key":"2409_CR6","doi-asserted-by":"publisher","first-page":"88","DOI":"10.1016\/j.bja.2019.02.026","volume":"123","author":"FG Zampieri","year":"2019","unstructured":"Zampieri FG, Costa EL, Iwashyna TJ, et al. Heterogeneous effects of alveolar recruitment in acute respiratory distress syndrome: a machine learning reanalysis of the Alveolar Recruitment for Acute Respiratory Distress Syndrome Trial. Br J Anaesth. 2019;123:88\u201395.","journal-title":"Br J Anaesth"},{"key":"2409_CR7","doi-asserted-by":"publisher","first-page":"240","DOI":"10.4103\/0972-5229.118445","volume":"17","author":"T Purtuloglu","year":"2013","unstructured":"Purtuloglu T, Eksert S, Simsek F, Sizlan A, Cosar A. A new treatment modality for unilateral atelectasis: recruitment maneuver with endobronchial blocker. Indian J Crit Care Med. 2013;17:240\u20132.","journal-title":"Indian J Crit Care Med"}],"container-title":["Journal of Medical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-020-02409-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13256-020-02409-6\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13256-020-02409-6.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,6,24]],"date-time":"2021-06-24T00:11:22Z","timestamp":1624493482000},"score":1,"resource":{"primary":{"URL":"https:\/\/jmedicalcasereports.biomedcentral.com\/articles\/10.1186\/s13256-020-02409-6"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,6,24]]},"references-count":7,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2020,12]]}},"alternative-id":["2409"],"URL":"https:\/\/doi.org\/10.1186\/s13256-020-02409-6","relation":{},"ISSN":["1752-1947"],"issn-type":[{"value":"1752-1947","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,6,24]]},"assertion":[{"value":"2 March 2020","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"25 May 2020","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"24 June 2020","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"This manuscript is a case report about a lifesaving procedure. Because it involves human data, the patient signed a consent form for medical information\/data about himself to be published.","order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Written informed consent was obtained from the patient for publication of this case report and any accompanying images. A copy of the written consent is available for review by the Editor-in-Chief of this journal.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"77"}}