Ventilation by the Open Lung Concept in spite of traumatic lung herniation.
Traumatic herniation of the lung is uncommon. We report a patient suffering from multiple injuries including severe pulmonary contusion and traumatic parasternal lung herniation, who developed acute respiratory distress syndrome. In spite of the lung herniation, we used mechanical ventilation according to the Open Lung Concept. Oxygenation improved rapidly, and early operative stabilization was possible.
Schreiter
D
D
Surgical Intensive Care Unit, and Division of Traumatology, Department of Surgery, University of Leipzig, Liebigstrasse 20a, D-04103 Leipzig, Germany. dschr@medizin.uni-leipzig.de
Reske
A
A
Glien
C
C
Scheibner
L
L
Josten
C
C
D000368:Aged; D005260:Female; D006547:Hernia / Q000209:etiology / Q000473:pathology / Q000628:therapy; D006801:Humans; D008168:Lung / Q000473:pathology; D008171:Lung Diseases / Q000209:etiology / Q000473:pathology / Q000628:therapy*; D009104:Multiple Trauma / Q000150:complications / Q000473:pathology / Q000628:therapy*; D012121:Respiration, Artificial / Q000379:methods*; D012128:Respiratory Distress Syndrome / Q000209:etiology / Q000473:pathology / Q000628:therapy*; D014057:Tomography, X-Ray Computed