Partial liquid ventilation in a child on extracorporeal life support.
A 14 month old child was referred for management of acute respiratory distress syndrome after aspiration of paraffin lamp oil. Initial management with conventional ventilation and subsequent management with high frequency oscillatory ventilation produced pulmonary air leaks, further compromising clinical management. After initiating extracorporeal life support and low pressure ventilation, pulmonary air leaks subsided. The patient was then successfully managed by a protocol including partial liquid ventilation with perfluorocarbon. This case report details the authors' experience with the first child with respiratory failure to be managed with partial liquid ventilation while on extracorporeal life support.
Pranikoff
T
T
C.S. Mott Children's Hospital, University of Michigan, Ann Arbor 48109-0245, USA.
Gauger
P G
PG
Hirschl
R B
RB
D005112:Extracorporeal Circulation; D005260:Female; D005466:Fluorocarbons / Q000627:therapeutic use; D006801:Humans; D007223:Infant; D007231:Infant, Newborn; D008021:Life Support Systems / Q000592:standards*; D008170:Lung Compliance / Q000502:physiology; D008400:Mass Chest X-Ray; D010232:Paraffin / Q000633:toxicity; D011659:Pulmonary Gas Exchange / Q000502:physiology; D012123:Pulmonary Ventilation; D012127:Respiratory Distress Syndrome, Newborn / Q000628:therapy*
D005466:Fluorocarbons; D010232:Paraffin