Case Reports in Surgery

Case Report

Reexpansion Pulmonary Edema following Laparoscopy-Assisted Distal Gastrectomy for a Patient with Early Gastric Cancer: A Case Report

Table 1

Perioperative ventilatory support information and arterial blood gas analysis results.


	Start of anesthesia	During surgery*	Bedroom	Reintubation	1 POD	3 POD	7 POD

Respirator mode	SIMV	SIMV		^†SIMV (VC) + PS	^†SIMV (VC) + PS	^†Spont/PEEP + PS
Tidal volume	400 mL	400 mL		450 mL	450 mL	450 mL
Frequency	20 times	20 times	None	20 times	20 times	20 times	None
PS	0 mmHg	0 mmHg		10 mmHg	12 mmHg	10 mmHg
PEEP	0 mmHg	0 mmHg		10 mmHg	10 mmHg	5 mmHg

BGA
FiO₂	0.4	0.5	10 L mask	1.0	0.65	0.4	Room air
pH	7.414	7.384	7.237	7.328	7.338	7.397	7.420
O₂ (mmHg)	178.5	86.2	56.2	158.6	137.6	74.4	88.2
CO₂ (mmHg)	41.6	41.4	63.9	39.4	48.5	53.4	42.3
B.E. (mmol/L)	1.3	0.8	−2.4	−2.0	−0.9	6.4	1.0

SIMV: synchronized intermittent mandatory ventilation; VC: volume control; PS: pressure support; Spont: spontaneous respiration; PEEP: positive end-expiratory pressure; BE: base excess; POD: postoperative day; BGA: blood gas analysis; *During surgery: 229 minutes after the initiation of surgery. ^†Puritan Bennett 840 Ventilator System.