Postpericardiotomy and Postmyocardial Infarction Syndrome (9)

Postpericardiotomy and Postmyocardial Infarction Syndrome (9)There were no operative complications, and the patient came to the intensive care unit in stable condition. The immediate postoperative chest roentgenogram showed no cardiomegaly or pulmonary edema. Transient hypertension was treated for 4 hours with nitroprusside. The left atrial pressure remained 10 to 15 mm throughout the first postoperative day, and the blood pressure and pulse were stable. The ECG showed no evidence of further damage. Fostextubation blood gases showed a pH of 7.44 Pco2 of 34 mm Hg, and Po2 of 70 mm Hg (saturation of 94 percent) on 4 L oxygen by nasal cannula. antibiotic levaquin
On his second postoperative day, the left atrial line was removed, and the patient was transferred out of the intensive care unit on 5 L of oxygen by nasal cannula and intermittent positive pressure breathing (IPPB) with bronchodilators. That day the Po2 dropped to 52 mm Hg on FIo2 70 percent (88 percent saturation), and the patient showed early signs of respiratory distress. The chest roentgenogram showed early vascular redistribution with some atelectasis in the right lower lobe. Furosemide therapy was ineffective. The sedimentation rate was 117 mm/h. The ECG was unchanged.

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