title: A case of pneumomediastinum in paediatric ARDS: to oscillate or not?
abstract: 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.
authors.affiliation: Our Lady's Hospital for Sick Children, Crumlin, Dublin 12, Ireland.
authors.forename: J
authors.initials: J
authors.lastname: McGinley
authors.forename: T
authors.initials: T
authors.lastname: Corcoran
authors.forename: G
authors.initials: G
authors.lastname: Canny
authors.forename: B
authors.initials: B
authors.lastname: O'Hare
mesh_terms: D005260:Female; D006611:High-Frequency Jet Ventilation; D006801:Humans; D007231:Infant, Newborn; D008478:Mediastinal Emphysema / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy*; D011859:Radiography; D012127:Respiratory Distress Syndrome, Newborn / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy*; D013203:Staphylococcal Infections / Q000150:complications