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Department of Anesthesiology and Intensive Care, Aalborg Hospital–Århus University Hospitals, Aalborg, North Jutland, Denmark, an.larsson{at}nja.dk
In Response:
We agree with Dr. Lohser (1) that in the case of single-lung collapse, from a hemodynamic standpoint it is better to perform the one-lung recruitment maneuver than the global-recruitment maneuver (2). As pointed out by Dr. Lohser, lung collapse is found in the dorsal, basal parts of both lungs after cardiac surgery, although the left lower lobe is usually more compromised. In a previous study (3), we found that the majority of patients had partial or total left, lower-lung collapse the day after coronary artery bypass surgery. This finding agrees well with results by other investigators (3–5). Therefore, we still believe that a selective recruitment maneuver is clinically useful, although whether the maneuver is effective or decreases morbidity needs to be studied.
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