Supplemental jet ventilation in a case of ARDS complicated by bronchopleural fistulae

Objective: To present a case of unusual ventilatory strategy in a 17 year old girl with the acute respiratory distress syndrome (ARDS) complicated by bilateral bronchopleural fistulae. Methods: The patient was ventilated with a combination of conventional pressure control ventilation (PCV) and high...

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Bibliographic Details
Published in:Critical care and resuscitation 2005-06, Vol.7 (2), p.111-115
Main Author: Simes, D C
Format: Article
Language:English
Subjects:
Pressure breathing
Respiratory insufficiency
Treatment
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Summary:Objective: To present a case of unusual ventilatory strategy in a 17 year old girl with the acute respiratory distress syndrome (ARDS) complicated by bilateral bronchopleural fistulae. Methods: The patient was ventilated with a combination of conventional pressure control ventilation (PCV) and high frequency jet ventilation (HFJV) for 133 and 110 days, respectively. Results: Despite prolonged hypoxia, extensive barotrauma and nosocomial infections, she survived without significant impairment of respiratory function. Two years later she was healthy and independent with only mildly reduced respiratory reserve. Conclusions: The combination of PCV and HFJV was beneficial in this case of ARDS complicated by bronchopleural fistulae. The case also highlights the utility of HFJV in the desperately hypoxic patient with extensive airway disruption. (author abstract)
ISSN:1441-2772
DOI:10.1016/S1441-2772(23)01642-3