[Mechanical ventilation to treat acute respiratory distress syndrome secondary to descending necrotizing mediastinitis. Role of dynamic axial computed tomography of the lung].
Lung computed tomography (CT) is being used increasingly to assess lung morphology in patients on mechanical ventilation. Lung CT under known levels of airway pressure (dynamic CT) can also assess the response of lung parenchyma to ventilatory therapy. We report a patient with acute respiratory distress syndrome secondary to descending necrotizing mediastinitis, in whom lung dynamic CT oriented ventilatory management. Independent lung ventilation improved gas exchange and helped patient recovery.
Bugedo
Guillermo
G
Programa de Medicina Intensiva, Departamentos de Anestesiología, Radiología y Enfermedades Respiratorias, División de Cirugía, Hospital Clínico Pontificia Universidad Católica de Chile. bugedo@med.puc.cl
Bruhn
Alejandro
A
Hernández
Glenn
G
Rojas
Gonzalo
G
Aparicio
Rodrigo
R
Castillo
Luis
L
D000208:Acute Disease; D000328:Adult; D006801:Humans; D008168:Lung / Q000000981:diagnostic imaging; D008297:Male; D008480:Mediastinitis / Q000150:complications* / Q000473:pathology; D009336:Necrosis; D011175:Positive-Pressure Respiration; D011659:Pulmonary Gas Exchange; D012121:Respiration, Artificial; D012128:Respiratory Distress Syndrome / Q000000981:diagnostic imaging* / Q000209:etiology / Q000628:therapy*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D014692:Ventilation-Perfusion Ratio
Ventilación diferencial en el manejo del síndrome de distress respiratorio agudo secundario a mediastinitis necrotizante descendente. Rol de la tomografía axial computarizada dinámica de pulmón.