| Autor: |
Ravi Ranjan, Priyankar Kumar Datta, Sriharsha Rapaka, Avishek Roy, Kapil Dev Soni |
| Jazyk: |
angličtina |
| Rok vydání: |
2023 |
| Předmět: |
|
| Zdroj: |
Canadian Journal of Respiratory Therapy, Vol 59, Pp 95-99 (2023) |
| Druh dokumentu: |
article |
| ISSN: |
2368-6820 |
| DOI: |
10.29390/cjrt-2022-069 |
| Popis: |
Introduction: Patients with acute respiratory distress syndrome (ARDS) on mechanical ventilation often require high inspiratory pressure and positive end-expiratory pressure (PEEP). However, effective ventilation becomes difficult in cases where a large air leak develops in patients. The management of such a case requires improvisation and the adoption of special ventilation strategies. Case and outcomes: We present a case study of a burn patient with airway involvement, developing ARDS and who developed a bronchopleural fistula (BPF) leading to failure of conventional ventilation. He was managed successfully with high-frequency oscillatory ventilation (HFOV) and finally discharged. Conclusion: HFOV is a feasible option for ventilating patients with BPF when conventional ventilation fails. At a time when HFOV has largely been relegated to obsolescence, we hope to re-emphasize its relevance under particular circumstances. |
| Databáze: |
Directory of Open Access Journals |
| Externí odkaz: |
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