A 45-Year-Old Man With Severe Respiratory Failure After Cardiac Arrest

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A 45-Year-Old Man With Severe Respiratory Failure After Cardiac Arrest Maxime Pichette, MD, Alberto Goffi, MD CHEST Volume 153, Issue 6, Pages e133-e137 (June 2018) DOI: 10.1016/j.chest.2017.12.030 Copyright © 2018 American College of Chest Physicians Terms and Conditions

Figure 1 Twelve-lead electrocardiogram. There are coved ST-segment elevations in leads V1 and V2 consistent with type 1 Brugada pattern. CHEST 2018 153, e133-e137DOI: (10.1016/j.chest.2017.12.030) Copyright © 2018 American College of Chest Physicians Terms and Conditions

Figure 2 Chest radiograph demonstrating extensive bilateral basal opacities that could represent lung consolidations, pleural effusions, or both. CHEST 2018 153, e133-e137DOI: (10.1016/j.chest.2017.12.030) Copyright © 2018 American College of Chest Physicians Terms and Conditions

Figure 3 A-E, Still images of lung ultrasound findings in the context of (A) large basal lung consolidation with air bronchograms and small pleural effusion; (B) partial reaeration of consolidated lung during recruitment maneuver; (C) improved lung aeration 2 h after initiating prone position and still significant increased lung density, as depicted by presence of diffuse B lines; (D) persistent left anterior consolidation 16 h after initiating prone position; and (E) large and complex pleural effusion with multiple loculations (see also Discussion Video 2). PEEP = positive end-expiratory pressure. CHEST 2018 153, e133-e137DOI: (10.1016/j.chest.2017.12.030) Copyright © 2018 American College of Chest Physicians Terms and Conditions

Figure 4 Chest radiograph performed approximately 16 h after initiation of prone positioning (patient already turned back to supine position). The bilateral basal consolidations have significantly improved. CHEST 2018 153, e133-e137DOI: (10.1016/j.chest.2017.12.030) Copyright © 2018 American College of Chest Physicians Terms and Conditions

Figure 5 Chest radiograph on day 24 of admission. There is a new right medial and lower lobe consolidation and an adjacent pleural effusion. CHEST 2018 153, e133-e137DOI: (10.1016/j.chest.2017.12.030) Copyright © 2018 American College of Chest Physicians Terms and Conditions