Document Detail

On the possible role of positive end-expiratory pressure ventilation in the treatment of chylothorax caused by blunt chest trauma.
MedLine Citation:
PMID:  9529187     Owner:  NLM     Status:  MEDLINE    
Recent reports on the treatment of chylothorax postulate a benefit to ventilator therapy, especially using positive end-expiratory pressure (PEEP). This report describes the use of mechanical ventilation with PEEP in the management of a 24-year-old male motorcyclist who sustained a ligamentous Chance fracture of the thoracic spine at the T6-7 level with bilateral traumatic chylothorax. Treatment of the chylothorax consisted of high PEEP ventilation, bilateral chest tube thoracostomies, and total parenteral nutrition. The chylothoraces resolved within 4 days of treatment and mechanical ventilation was stopped. Ventilator therapy of traumatic chylothorax and the physiologic grounds for its use are discussed. A review of the literature and experimental evidence seem to suggest that ventilator treatment of traumatic chylothoraces is effective.
E Lindhorst; H A Miller; G A Taylor; L Gotzen
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of trauma     Volume:  44     ISSN:  0022-5282     ISO Abbreviation:  J Trauma     Publication Date:  1998 Mar 
Date Detail:
Created Date:  1998-04-09     Completed Date:  1998-04-09     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0376373     Medline TA:  J Trauma     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  540-2     Citation Subset:  AIM; IM    
Department of Surgery, University of Marburg, Germany.
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MeSH Terms
Accidents, Traffic
Chest Tubes
Chylothorax / etiology,  radiography,  therapy*
Positive-Pressure Respiration / methods*
Spinal Fractures / complications*
Thoracic Vertebrae / injuries*

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