title: Bronchopleural fistulae and pulmonary ossification in posttraumatic acute respiratory distress syndrome: successful treatment with extracorporeal support.
abstract: We report a case of severe posttraumatic acute respiratory distress syndrome (ARDS) complicated by bronchopleural fistulae (BPF). The stiff ARDS lung and huge air leaks from BPF resulted in the failure of different protective mechanical ventilation strategies to provide viable gas exchange. Lung rest, achieved by extracorporeal carbon dioxide removal (ECCO₂R), allowed weaning from mechanical ventilation, closure of BPF, and resumption of spontaneous breathing.
authors.affiliation: Department of Intensive Care, Ospedale San Gerardo, Monza, Italy. bombino@libero.it
authors.forename: Michela
authors.initials: M
authors.lastname: Bombino
authors.forename: Nicolò
authors.initials: N
authors.lastname: Patroniti
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Foti
authors.forename: Stefano
authors.initials: S
authors.lastname: Isgrò
authors.forename: Giacomo
authors.initials: G
authors.lastname: Grasselli
authors.forename: Antonio
authors.initials: A
authors.lastname: Pesenti
mesh_terms: D000063:Accidents, Traffic; D000328:Adult; D001983:Bronchial Fistula / Q000150:complications / Q000473:pathology*; D002245:Carbon Dioxide / Q000378:metabolism; D015199:Extracorporeal Membrane Oxygenation / Q000379:methods*; D006801:Humans; D008168:Lung / Q000503:physiopathology; D008297:Male; D012119:Respiration; D012121:Respiration, Artificial; D012128:Respiratory Distress Syndrome / Q000628:therapy*
chemical_list: D002245:Carbon Dioxide