| A new device that allows synchronous intermittent inspiratory chest tube occlusion with any mechanical ventilator. | |
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MedLine Citation:
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PMID: 2347229 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Controlling a massively leaking bronchopleural fistula (BPF) can prove difficult. In combination with acute respiratory failure (ARF), BPF results in a mortality of 81 percent. Intermittent inspiratory chest tube occlusion (IICTO) is recognized as effective in controlling even the largest BPF; however, IICTO, as previously described, is difficult to use for a variety of reasons. We report two cases of BPF in association with ARF managed with a simple new device that allows the application of IICTO with virtually any mechanical ventilator. The effectiveness of the device and associated technique in controlling BPF leaks is clearly demonstrated and may have played a role in the eventual recovery of a patient with BPF. Further study of the technique is warranted. |
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Authors:
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P B Blanch; J C Koens; A J Layon |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Chest Volume: 97 ISSN: 0012-3692 ISO Abbreviation: Chest Publication Date: 1990 Jun |
Date Detail:
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Created Date: 1990-07-09 Completed Date: 1990-07-09 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0231335 Medline TA: Chest Country: UNITED STATES |
Other Details:
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Languages: eng Pagination: 1426-30 Citation Subset: AIM; IM |
Affiliation:
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Department of Anesthesiology, University of Florida College of Medicine, Gainesville. |
Export Citation:
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APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
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Adult Bronchial Fistula / complications, therapy* Chest Tubes* Equipment Design Fistula / complications, therapy* Humans Male Pleural Diseases / complications, therapy* Respiration, Artificial* Respiratory Insufficiency / complications Ventilators, Mechanical* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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