ISSN:
1432-1238
Keywords:
Adult respiratory distress syndrome (ARDS)
;
Positive end-expiratory pressure ventilation (PEEP)
;
Selective distribution ventilation
;
Double lumen tracheal tube
;
Static compliance
;
Intra-pulmonary shunting
;
Unilateral pneumonia
Source:
Springer Online Journal Archives 1860-2000
Topics:
Medicine
Notes:
Abstract Conventional PEEP ventilation has been recently reported to be deleterious in some cases of ARF with unilateral pneumonia. In such respect, two cases of unilateral bacterial pneumonia were intubated with a Carlens tracheal tube. Measurement of tidal volume, static complicance, and functional residual capacity of each lung showed marked inequality. Subsequently, both patients were ventilated with a selective distribution circuit, allowing the introduction of a PEEP valve in the expiratory line of the diseased lung. Evident improvement in blood gases was obtained within 24 hours, as tidal volume, static compliance, and FRC of the diseased lung were markedly improved. In one case equalisation of V/Q ratio was documented using the 81m Kr method. Final recovery was obtained in one case.
Type of Medium:
Electronic Resource
URL:
http://dx.doi.org/10.1007/BF01683935
Permalink
