[Surfactant administration and laterally independent positive pressure ventilation in acute lung failure and atelectasis after septic abortion. Case report].
We report the case of a 35 years old female patient suffering from Staphylococcus aureus induced abortion in the 7th/8th week of gestation. Sepsis with acute respiratory failure (ARDS) developed, which could be treated successfully. Pneumonia, caused by Pseudomonas aeruginosa, induced a recurrence of ARDS, complicated by a persistent incomplete atelectasis of the left lung. Independent ventilation of both lungs with increased pressure on the left side combined with bronchoscopy guided instillation of 1 g of bovine surfactant (Alveofact), caused improvement of arterial oxygenation and radiological signs, signalling airation of collapsed lung areas.
Hoheisel
G
G
Abt. Intensivmedizin, Medizinische Klinik und Poliklinik, Universität Leipzig.
Moche
M
M
Borte
G
G
Bilek
K
K
Schauer
J
J
Engelmann
L
L
D000031:Abortion, Septic / Q000150:complications*; D000818:Animals; D002417:Cattle; D005260:Female; D006801:Humans; D011175:Positive-Pressure Respiration / Q000379:methods*; D011247:Pregnancy; D001261:Pulmonary Atelectasis / Q000000981:diagnostic imaging / Q000628:therapy*; D011663:Pulmonary Surfactants / Q000008:administration & dosage*; D012008:Recurrence; D012128:Respiratory Distress Syndrome / Q000000981:diagnostic imaging / Q000628:therapy*; D013203:Staphylococcal Infections / Q000150:complications*; D014057:Tomography, X-Ray Computed
D011663:Pulmonary Surfactants