Background: Pulmonary contusion (PC) is the most common injury in pediatric blunt chest trauma. The treatment of this injury is largely supportive (supplemental O 2, fluids, relief of chest pain), but in cases of hypoxemia with mechanical respiratory insufficiency young patients may need endotracheal intubation and ventilatory assistance. In unilateral pulmonary contusion, this event can require selective endotracheal intubation in order to avoid the risks of barotrauma and sepsis. Patients and Methods: two cases of pediatric unilateral pulmonary contusion. After diagnosis by chest X-ray and evaluation of mechanical respiratory insufficiency, we performed selective naso-tracheal intubation with two tracheal tubes making simultaneous independent lung ventilation (ILV). After improvement of "quasi static" compliance of contused lung, single tracheal tube ventilation was reactivated and CT scan showed a reduction of contused pulmonary parenchyma in both patients.
|Translated title of the contribution||Independent lung ventilation and surfactant application in presence of unilateral pulmonary contusion in children: Two clinical study cases|
|Number of pages||9|
|Journal||Acta Anaesthesiologica Italica / Anaesthesia and Intensive Care in Italy|
|Publication status||Published - 2004|
ASJC Scopus subject areas
- Anesthesiology and Pain Medicine