Ventilatory management in a child with bilateral bronchopleural fistula: a challenge for the intensivist
Anaesthesia, Pain and Intensive Care. 2016; 20 (2): 217-220
in English
| IMEMR
| ID: emr-182266
ABSTRACT
Pneumatoceles have been described as a complication of staphylococcal pneumonia in children. But the management of large [>1 cm] bilateral bronchopleural fistula [BPF] in a child on positive pressure ventilation is a challenge for the intensivist. Bronchoscopy is an efficient method to close small BPFs [1-3 mm]; independent lung ventilation cannot be used in patients with bilateral lung involvements; high frequency ventilation is of limited value in patients with distal and parenchymal disease; surgical management is deferred in patients with severe hypoxia and active chest infection. Extracorporeal membrane oxygenation is the only treatment modality left but its availability is limited to a few centers only
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Index:
IMEMR (Eastern Mediterranean)
Language:
English
Journal:
Anaesth. Pain Intensive Care
Year:
2016
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