title: [Surgical therapy of lung complications of long-term ventilation for severe adult respiratory distress syndrome].
abstract: Long-term respiratory therapy with high pressure levels in case of ARDS can lead to several symptoms requiring surgical treatment. Various forms of manifesting barotrauma predominate (bronchopleural fistula, pneumothorax, pneumatocele and soft tissue emphysema), while hematothorax, infected necrosis of parenchyma or esophagotracheal fistula are rare. Most of the operations became necessary because of bronchopleural fistula resp. pneumothorax, and with this indication the number of reoperations was especially high. Of 21 patients 13 (62%) survived.
authors.affiliation: Klinik für Allgemeinchirurgie, Philipps-Universität Marburg/Lahn.
authors.forename: P K
authors.initials: PK
authors.lastname: Wagner
authors.forename: M
authors.initials: M
authors.lastname: Knoch
authors.forename: C
authors.initials: C
authors.lastname: Sangmeister
authors.forename: E E
authors.initials: EE
authors.lastname: Müller
authors.forename: H
authors.initials: H
authors.lastname: Lennartz
authors.forename: M
authors.initials: M
authors.lastname: Rothmund
mesh_terms: D000293:Adolescent; D000328:Adult; D001469:Barotrauma / Q000601:surgery*; D001983:Bronchial Fistula / Q000601:surgery; D002648:Child; D005260:Female; D005402:Fistula / Q000601:surgery; D006801:Humans; D008171:Lung Diseases / Q000601:surgery; D055370:Lung Injury; D008297:Male; D011030:Pneumothorax / Q000601:surgery; D011175:Positive-Pressure Respiration / Q000009:adverse effects*; D011656:Pulmonary Emphysema / Q000601:surgery; D012128:Respiratory Distress Syndrome / Q000628:therapy*
vernacular_title: Chirurgische Therapie von Lungenkomplikationen bei Langzeitbeatmung wegen schweren ARDS.