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Chest, Vol 97, 1002-1003, Copyright © 1990 by American College of Chest Physicians

ARTICLES

Hemodynamic compromise associated with air trapping following coronary artery bypass surgery

DJ Dries, M Mathru, R Salem, T Rao and A Montoya
Department of Surgery, Loyola University Medical Center, Chicago.

Cardiovascular collapse due to pulmonary hyperinflation was noted in a patient with chronic obstructive pulmonary disease following median sternotomy for cardiac surgery. Treatment included bronchodilator therapy to reduce airway obstruction, limitation of minute ventilation, and increasing time available for exhalation. High inspiratory flow rates and expiratory retard may be beneficial.




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Copyright © 1990 by the American College of Chest Physicians.