Premium
Noninvasive ventilation in large postoperative flail chest
Author(s) -
Piastra Marco,
De Luca Daniele,
Zorzi Giulia,
Ruggiero Antonio,
Antonelli Massimo,
Conti Giorgio,
Pietrini Domenico
Publication year - 2008
Publication title -
pediatric blood and cancer
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.116
H-Index - 105
eISSN - 1545-5017
pISSN - 1545-5009
DOI - 10.1002/pbc.21749
Subject(s) - medicine , flail chest , mechanical ventilation , respiratory failure , weaning , respiratory system , ventilation (architecture) , surgery , anesthesia , mechanical engineering , engineering
An 11‐year‐old male developed a severe respiratory failure due to a iatrogenic flail chest following a surgery for removing a large chest wall area. A rare Ewing sarcoma was histologically diagnosed and intensive chemotherapy was administered. Postoperatively, because of the failure in ventilation weaning, the patient was electively extubated and noninvasive positive pressure ventilation through face‐mask was provided. Respiratory support avoided asynchronous paradoxical movements and achieved pneumatic stabilization. Clinical and respiratory improvement allowed a successful weaning from ventilator. Pediatr Blood Cancer 2008;51:831–833. © 2008 Wiley‐Liss, Inc.