title: Management of tension pneumatocele with high-frequency oscillatory ventilation.
abstract: We report the successful application of high-frequency oscillatory ventilation in a patient with tension pneumatocele (TP). The proposed check-valve mechanism for the development of pneumatoceles predicts that positive-pressure ventilation could lead to distension of these airspaces and formation of TPs. Therefore, high-frequency ventilation could be more applicable in conditions, such as massive air leak due to bronchopleural fistula, that are difficult to manage by conventional ventilator modes.
authors.affiliation: Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.
authors.forename: Hsiu-Nien
authors.initials: HN
authors.lastname: Shen
authors.forename: Frank Leigh
authors.initials: FL
authors.lastname: Lu
authors.forename: Huey-Dong
authors.initials: HD
authors.lastname: Wu
authors.forename: Chong-Jen
authors.initials: CJ
authors.lastname: Yu
authors.forename: Pan-Chyr
authors.initials: PC
authors.lastname: Yang
mesh_terms: D001983:Bronchial Fistula / Q000000981:diagnostic imaging / Q000628:therapy; D015505:Chest Tubes; D002675:Child, Preschool; D003560:Cysts / Q000000981:diagnostic imaging / Q000628:therapy*; D005260:Female; D005402:Fistula / Q000000981:diagnostic imaging / Q000628:therapy; D006611:High-Frequency Jet Ventilation; D006801:Humans; D008171:Lung Diseases / Q000000981:diagnostic imaging / Q000628:therapy*; D010100:Oxygen / Q000097:blood; D010995:Pleural Diseases / Q000000981:diagnostic imaging / Q000628:therapy; D011018:Pneumonia, Pneumococcal / Q000000981:diagnostic imaging / Q000628:therapy*; D011030:Pneumothorax / Q000000981:diagnostic imaging / Q000628:therapy*; D011859:Radiography; D016896:Treatment Outcome
chemical_list: D010100:Oxygen