Document Detail

Management of an infant with diffuse bullous pulmonary lesions using high-frequency oscillatory ventilation.
MedLine Citation:
PMID:  10522585     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To describe the anesthetic and ventilatory management of an infant with diffuse pulmonary bullous lesions. CLINICAL FEATURES: Four successive operations were scheduled for an infant with diffuse pulmonary bullous lesions. At the age of seven weeks, conventional positive pressure ventilation during laparotomy for intestinal occlusion led to arterial desaturation. This was corrected by returning to spontaneous respiration and deep inhalation anesthesia with halothane. Based on our ICU experience and due to a potential impaired oxygenation during conventional ventilation, we chose high-frequency oscillatory ventilation (HFOV) for bilateral sequential thoracotomies for bullectomies at the age of five months. We elected the same ventilatory mode for laparotomy for intestinal obstruction secondary to a polyp at the age of six months. This ventilatory mode was combined with total intravenous anesthesia and epidural analgesia and provided optimal oxygenation and ventilation as well as vital signs stability. CONCLUSION: High frequency oscillatory ventilation is a safe technique that may be used in the operating room in cases where conventional ventilation failed to provide satisfactory gas exchange.
P Aubin; D Vischoff; M Haig; E Villeneuve; J Charest; M Lallier; M Di Lorenzo
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Canadian journal of anaesthesia = Journal canadien d'anesthésie     Volume:  46     ISSN:  0832-610X     ISO Abbreviation:  Can J Anaesth     Publication Date:  1999 Oct 
Date Detail:
Created Date:  1999-11-24     Completed Date:  1999-11-24     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  8701709     Medline TA:  Can J Anaesth     Country:  CANADA    
Other Details:
Languages:  eng     Pagination:  970-4     Citation Subset:  IM    
Department of Anesthesiology, Hôpital Sainte-Justine and Université de Montréal, QC, Canada.
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MeSH Terms
Anesthesia, Epidural
Anesthesia, Intravenous
Blood Gas Analysis
Carbon Dioxide / blood
High-Frequency Ventilation*
Lung / radiography
Lung Diseases / radiography,  surgery,  therapy*
Oxygen / blood
Reg. No./Substance:
124-38-9/Carbon Dioxide; 7782-44-7/Oxygen
Comment In:
Can J Anaesth. 2000 Mar;47(3):290   [PMID:  10730746 ]

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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