Management of tension pneumatocele with high-frequency oscillatory ventilation.
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.
Shen
Hsiu-Nien
HN
Department of Internal Medicine, National Taiwan University Hospital, Taipei, Taiwan.
Lu
Frank Leigh
FL
Wu
Huey-Dong
HD
Yu
Chong-Jen
CJ
Yang
Pan-Chyr
PC
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
D010100:Oxygen