Ventilatory Management in a Child with Bilateral Bronchopleural Fistula: a Challenge for the Intensivist. | [Anaesthesia, Pain and Intensive Care • 2016]

Author(s):

1. Tanvir Samra: Department of Anesthesiology & Intensive Care, Post Graduate Institute of Medical Education & Research (PGIMER), Chandigarh, India

2. Kamlesh Kumari: Department of Anesthesiology & Intensive Care, Post Graduate Institute of Medical Education & Research (PGIMER), Chandigarh, India

3. Vikas Saini: Department of Anesthesiology& Intensive Care, Post Graduate Institute of Medical Education & Research (PGIMER), Chandigarh, India

Abstract:

Pneumatoceles have been described as a complication of staphylococcal pneumonia in children. But the management of large (>1 cm) bilateral bronchopleural fistula (BPF) in a child on positive pressure ventilation is a challenge for the intensivist. Bronchoscopy is an efficient method to close small BPFs (1-3 mm); independent lung ventilation cannot be used in patients with bilateral lung involvements; high frequency ventilation is of limited value in patients with distal and parenchymal disease; surgical management is deferred in patients with severe hypoxia and active chest infection. Extracorporeal membrane oxygenation is the only treatment modality left but its availability is limited to a few centers only.

Page(s): 217-220

DOI: DOI not available

Published: Journal: Anaesthesia, Pain and Intensive Care, Volume: 20, Issue: 2, Year: 2016

Keywords:

Keywords are not available for this article.

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