A case of pneumomediastinum in paediatric ARDS: to oscillate or not?
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.
McGinley
J
J
Our Lady's Hospital for Sick Children, Crumlin, Dublin 12, Ireland.
Corcoran
T
T
Canny
G
G
O'Hare
B
B
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