Noninvasive ventilation in large postoperative flail chest.
An 11-year-old male developed a severe respiratory failure due to a iatrogenic flail chest following a surgery for removing a large chest wall area. A rare Ewing sarcoma was histologically diagnosed and intensive chemotherapy was administered. Postoperatively, because of the failure in ventilation weaning, the patient was electively extubated and noninvasive positive pressure ventilation through face-mask was provided. Respiratory support avoided asynchronous paradoxical movements and achieved pneumatic stabilization. Clinical and respiratory improvement allowed a successful weaning from ventilator.
Piastra
Marco
M
Pediatric Intensive Care Unit, Catholic University Medical School, A.Gemelli Hospital, Rome, Italy. cecile.colavolpe@ap-hm.fr
De Luca
Daniele
D
Zorzi
Giulia
G
Ruggiero
Antonio
A
Antonelli
Massimo
M
Conti
Giorgio
G
Pietrini
Domenico
D
D002648:Child; D005409:Flail Chest / Q000150:complications / Q000188:drug therapy / Q000601:surgery*; D006801:Humans; D008297:Male; D008400:Mass Chest X-Ray; D011183:Postoperative Complications; D013902:Radiography, Thoracic; D012121:Respiration, Artificial; D012131:Respiratory Insufficiency / Q000209:etiology* / Q000601:surgery; D012512:Sarcoma, Ewing / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery*; D013899:Thoracic Neoplasms / Q000175:diagnosis / Q000188:drug therapy / Q000601:surgery; D015300:Ventilator Weaning