title: [Mechanical ventilation to treat acute respiratory distress syndrome secondary to descending necrotizing mediastinitis. Role of dynamic axial computed tomography of the lung].
abstract: 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.
authors.affiliation: 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
authors.forename: Guillermo
authors.initials: G
authors.lastname: Bugedo
authors.forename: Alejandro
authors.initials: A
authors.lastname: Bruhn
authors.forename: Glenn
authors.initials: G
authors.lastname: Hernández
authors.forename: Gonzalo
authors.initials: G
authors.lastname: Rojas
authors.forename: Rodrigo
authors.initials: R
authors.lastname: Aparicio
authors.forename: Luis
authors.initials: L
authors.lastname: Castillo
mesh_terms: 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
vernacular_title: 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.