We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
HFOV in inhalational injury associated ARDS with broncho-pleural fistula - An old friend to the rescue: Case report.
- Authors
Ranjan, Ravi; Datta, Priyankar Kumar; Rapaka, Sriharsha; Roy, Avishek; Soni, Kapil Dev
- Abstract
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.
- Subjects
ADULT respiratory distress syndrome treatment; BURNS &; scalds complications; BURN patients; INTENSIVE care units; PROPOFOL; CHEST X rays; BRONCHIAL fistula; POSITIVE end-expiratory pressure; SMOKE inhalation injuries; OXYGEN saturation; FENTANYL; ADULT respiratory distress syndrome; ARTIFICIAL respiration; HIGH-frequency ventilation (Therapy); PLEURA diseases; DISEASE complications
- Publication
Canadian Journal of Respiratory Therapy, 2023, Vol 59, p95
- ISSN
1205-9838
- Publication type
Article
- DOI
10.29390/cjrt-2022-069