A single lung acute respiratory distress sindrome: case report

R.A. Ibadov, L.A. Nazirova, Sh. N. Khudaybergenov, H.K. Abrolov, A.Sh. Arifdjanov, N.A. Strijkov, N.R. Gizatulina, S.Kh. Ibragimov

Intensive care unit of AO Republican Specialized Surgery Center named after academician V. Vahidova, Uzbekistan

For citation: Ibadov RA, Nazirova LA, Khudaybergenov ShN et al. A single lung acute respiratory distress sindrome: a case report. Intensive Care Herald. 2016;1:57–60.


The paper presents a clinical case of acute respiratory distress syndrome (ARDS) in a patient with a single lung that developed on the 4th day after emergency pneumonectomy. Basic disease, hydatid lung, involves in the process the wall of aortic arch and forms an aortocystic fistula that caused a number of complications: pulmonary hemorrhage, hemothorax, hemorrhagic shock. The surgery was carried out under the conditions of the auxiliary artificial circulation. This case represented a serious clinical situation with the highest risk to life. The need for an immediate respiratory support was due to the development of severe respiratory failure, the presence of direct and indirect harmful factors of ARDS. The correct choice of modes and techniques of mechanical ventilation resulted in significant and sustained improvement in gas exchange parameters without hemodynamic disorders with a further favorable outcome.

Keywords: hydatid disease of lung, hemorrhagic shock, pneumonectomy, acute respiratory distress syndrome.


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