Oesophageal pressure-guided management of severe acute respiratory distress syndrome in a patient with intractable intracranial hypertension
| Autor: | Dea Mahanes, Michael Leite, Danny Theodore |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2019 |
| Předmět: |
0301 basic medicine
Male medicine.medical_specialty ARDS Neurology Traumatic brain injury Manometry medicine.medical_treatment 030105 genetics & heredity Severity of Illness Index 03 medical and health sciences Young Adult 0302 clinical medicine Esophagus Pressure Medicine Humans Pulmonary pathology Airway Management Novel Treatment (New Drug/Intervention Established Drug/Procedure in New Situation) Intracranial pressure Mechanical ventilation Respiratory Distress Syndrome business.industry General Medicine medicine.disease Anesthesia Brain Injuries medicine.symptom Intracranial Hypertension business Airway Hypercapnia 030217 neurology & neurosurgery |
| Zdroj: | BMJ Case Rep |
| Popis: | We present a case of a young boy who sustained a traumatic brain injury (TBI) complicated by intractable intracranial hypertension and severe acute respiratory distress syndrome (ARDS) with hypercapnia. The coexisting pulmonary pathology significantly impacted intracranial pressure management. Oesophageal pressure manometry was used to guide ventilator and airway pressure management, allowing the team to optimise ARDS care while mitigating the risk of elevated intracranial pressure. While the literature describing the use of oesophageal pressure-guided ARDS management continues to evolve, there are no reported cases demonstrating use in patients with ARDS and intractable intracranial hypertension due to TBI. |
| Databáze: | OpenAIRE |
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