case_images: PMC10753623_01
case_images: After thoracic surgery, independent lung ventilation (ILV), which aimed at asynchronous treatment with physiological lung separation, was started. Right ventilator settings: FiO2, 0.4; f, 10; positive end-expiratory pressure (PEEP), 5 cmH2O; inspiratory pressure, 5 cmH2O. Left ventilator settings: FiO2, 0.4; f, 16; PEEP, 12 cmH2O; IP, 10 cmH2O.
case_images: CCR3-12-e8354-g001.jpg
case_images: PMC10753623_01_CCR3-12-e8354-g001.jpg
case_images: ccr38354-fig-0001
case_images: ILV was then started for physiological lung separation (Figure 1).
case_images: The transition of chest computed tomography (CT) and chest X-ray. (A) Day 4. We confirmed the characteristics of the lung abscess. As intercurrent air leakage was present, we decided to perform thoracic surgery. (B) Day 17/18. Chest CT was performed on Day 17, and chest X-ray on Day 18. On Day 17, we performed CT because the circulatory dynamics were unstable and we suspected sepsis. On the same day, re-thoracotomy was performed. (C) Day 27. The right lung was pale in appearance. On Day 32, independent lung ventilation (ILV) was again started for the purpose of physiological lung separation. After that, transparency of the right lung gradually improved. (D) Day 56. Veno-venous extracorporeal membrane oxygenation was decannulated on Day 48. Transparency of the right lung improved.
case_images: CCR3-12-e8354-g003.jpg
case_images: PMC10753623_01_CCR3-12-e8354-g003.jpg
case_images: ccr38354-fig-0002
case_images: Figure 2 shows the progression of chest CT and chest X-ray.