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.


  1. Gothard J. Lung injury after thoracic surgery and one-lung ventilation. Curr. Opin. Anaesthesiol. 2006; 19: 5-10.
  2. Jordan S., Mitchell J.A., Quinlan G.J. et al. The pathogenesis of lung injury following pulmonary resection. Eur. Respir. J. 2000; 15 (4): 790-799.
  3. Algar F. J., Alvarez A., Salvatierra A. et al. Predicting pulmonary complications after pneumonectomy for lung cancer. Eur. J. Cardio_thoracicSurg. 2003; 23: 201-208.
  4. Fuentes P. A. Pneumonectomy: historical perspective and prospective insight. Eur. J. Cardiothorac. Surg. 2003; 23 (4): 439-445.
  5. Bernard G.R., Artigas A., Brigham K.L. (March 1994). «The American-European Consensus Conference on ARDS. Definitions, mechanisms, relevant outcomes, and clinical trial coordination». Am. J. Respir. Crit. Care Med. 149 (3 Pt 1): 818-24.
  6. Rubenfeld G.D., Herridge M.S. (February 2007). «Epidemiology and outcomes of acute lung injury». Chest 131 (2): 554-62.
  7. Сумин С.А. Неотложные состояния. – 8-е изд.,
  8. Van der Werff Y. D., van der Houwen H. K., Heijmans P. J. et al. Postpneumonectomy pulmonary edema. A retrospective analysis Incidence and possible risk factors. Chest 1997; 111 (5): 1278-1284.
  9. Bauer P. Postpneumonectomy pulmonary oedema revisited. Eur. Respir. J. 2000; 15 (4): 629-630.
  10. Власенко А. В., Остапченко Д. В., Мещеряков Г. Н. и соавт. Выбор параметров искусственной вентиляции легких у больных с острым респираторным дистресс_синдромом. Анестезиология и реаниматология.- 2004.- № 6.- с. 4-8.
  11. Peruzzi W. T. The current status of PEEP. Respir. Care 1996; 41 (4): 273-274.
  12. Ware L.B., Matthay M. A. The acute respiratory distress syndrome. N. Engl. J. Med. 2000; 342 (18): 1334-1349.