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VOLUME 20 , ISSUE 4 ( 2016 ) > List of Articles

CASE REPORT

Chest trauma: A case for single lung ventilation

Nagaraj Pandharikar

Keywords : Bronchopleural fistula, chest trauma, flail chest, single lung ventilation

Citation Information : Pandharikar N. Chest trauma: A case for single lung ventilation. Indian J Crit Care Med 2016; 20 (4):248-250.

DOI: 10.4103/0972-5229.180050

License: CC BY-ND 3.0

Published Online: 00-04-2016

Copyright Statement:  Copyright © 2016; Jaypee Brothers Medical Publishers (P) Ltd.


Abstract

Chest trauma is one of the important causes of mortality and morbidity in pediatric trauma patients. The complexity, magnitude, and type of lung injury make it extremely challenging to provide optimal oxygenation and ventilation while protecting the lung from further injury due to mechanical ventilation. Independent lung ventilation is used sporadically in these patients who do not respond to these conventional ventilatory strategies using double-lumen endotracheal tubes, bronchial blocker balloons, etc. However, this equipment may not be easily available in developing countries, especially for pediatric patients. Here, we present a case of severe chest trauma with pulmonary contusion, flail chest, and bronchopleural fistula, who did not respond to conventional lung protective strategies. She was successfully managed with bronchoscopy-guided unilateral placement of conventional endotracheal tube followed by single lung ventilation leading to resolution of a chest injury.


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