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Case 01 – Postoperative dyspnoea
CASE Description:A patient underwent a surgical procedure (coronary artery bypass grafting). A central venous line was placed intraoperatively for drug administration and monitoring. Patient was transferred to the postoperative intensive care unit (ICU) in a stable condition. After some hours the patient began to report difficulty breathing. His oxygen saturation dropped to 90%. An arterial blood gas showed hypoxemia. The patient’s respiratory rate increased, and he appeared anxious. You are called for assessment.
RF: 30, sat. 86, Heart rate (HR) 110/min, BP 160/95″
Press here for Findings
Lung: PTX left side – no lung sliding, no b-lines on right side
Heart: Normal findings
Abdomen: Normal – without free fluid
01_Lung_Ant_Right (Normal)
01_Lung_Ant_Right – Normal
02_Lung_Ant_Left (PTX)
02_Lung_Ant_Left – PTX
03_Lung_Posterior_axillary_Right (Normal)
03_Lung_Posterior_axillary_Right – Normal
04_Lung_Posterior_axillary_Left (Bad Image)
04_Lung_Posterior_axillary_Left – Bad Image
10_Heart_SC (Tachycardia)
10_Heart_SC – Tachycardia
11_Heart_A4CH (Tachycardia)
11_Heart_A4CH – Tachycardia
12_Heart_PLAX (Tachycardia)
12_Heart_PLAX – Tachycardia
13_Heart_PSAX (Tachycardia)
13_Heart_PSAX – Tachycardia
20_Abdomen_RUQ_Perihepatic (Normal)
20_Abdomen_RUQ_Perihepatic – Normal
22_Abdomen_LUQ_Perisplenic (Normal)
22_Abdomen_LUQ_Perisplenic – Normal
23_Abdomen_Pelvic_Sagittal (Normal)
23_Abdomen_Pelvic_Sagittal – Normal
24_Abdomen_Pelvic_Transverse (Normal)
24_Abdomen_Pelvic_Transverse – Normal
26_Abdomen_Aorta_Sagittal (Normal)
26_Abdomen_Aorta_Sagittal – Normal