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A case of pneumomediastinum in paediatric ARDS: to oscillate or not?
Author(s) -
McGinley J,
Corcoran T,
Canny G,
O'Hare B
Publication year - 2001
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1046/j.1460-9592.2001.00644.x
Subject(s) - medicine , hypercarbia , pneumomediastinum , ards , anesthesia , subcutaneous emphysema , ventilation (architecture) , pneumonia , surgery , tracheitis , airway , peak inspiratory pressure , hypoxemia , lung , complication , respiratory system , mechanical engineering , engineering , bronchitis , tidal volume
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.