A case of pneumomediastinum in paediatric ARDS: to oscillate or not?

An 18‐month‐old was transferred (intubated and ventilated) to our hospital with staphylococcal tracheitis, which progressed to a necrotizing pneumonitis, complicated by surgical emphysema and pneumomediastinum. Maximum conventional ventilation on a Servo 300 failed. Treatment with high frequency osc...

Full description

Saved in:
Bibliographic Details
Published in:Pediatric anesthesia 2001-05, Vol.11 (3), p.366-369
Main Authors: McGinley, J, Corcoran, T, Canny, G, O'Hare, B
Format: Article
Language:English
Subjects:
airleak
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Emergency and intensive respiratory care
Female
high frequency oscillatory ventilation
High-Frequency Jet Ventilation
Humans
Infant, Newborn
Intensive care medicine
Mediastinal Emphysema - complications
Mediastinal Emphysema - diagnostic imaging
Mediastinal Emphysema - therapy
Medical sciences
pneumomediastinum
Radiography
Respiratory Distress Syndrome, Newborn - complications
Respiratory Distress Syndrome, Newborn - diagnostic imaging
Respiratory Distress Syndrome, Newborn - therapy
Staphylococcal Infections - complications
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:An 18‐month‐old was transferred (intubated and ventilated) to our hospital with staphylococcal tracheitis, which progressed to a necrotizing pneumonitis, complicated by surgical emphysema and pneumomediastinum. Maximum conventional ventilation on a Servo 300 failed. Treatment with high frequency oscillatory ventilation (for 10 days) with a permissive hypercarbia and hypoxaemia strategy to limit mean airway pressure facilitated recovery in our patient.
ISSN:1155-5645
1460-9592
DOI:10.1046/j.1460-9592.2001.00644.x