Top Abstract Purchase Related
Home
>
Node
>
Subnode

Short-term asynchronous ventilation and differential positive end-expiratory pressure in the treatment of aspiration pneumonia. A case report

van Renen, R.G.; Schoonbee, C.G.

South African Medical Journal 67(3): 96-98

1985

ISSN/ISBN: 0256-9574
PMID: 3880932
Document Number: 249014
Synchronous and asynchronous differential lung ventilation, with or without the application of selective positive end-expiratory pressure (PEEP), has been described. Short-term asynchronous ventilation with differential PEEP as a treatment modality for unilateral lung disease has not been well documented. We report on a 43-year-old accident victim with multiple trauma who developed a severe left-sided aspiration pneumonia which failed to respond to conventional therapy including the application of PEEP. A left-sided double-lumen endotracheal tube was passed and 15 cm and 5 cm H2O PEEP was applied to the left and right lungs respectively. Asynchronous ventilation using two Ambu bags coupled with vigorous physiotherapy and endobronchial suctioning for 40 minutes resulted in a dramatic improvement in both the appearance on chest radiography and arterial blood gas values.

Document emailed within 1 workday
Secure & encrypted payments

Baehrendtz, S.; Hedenstierna, G. 1984: Differential ventilation and selective positive end-expiratory pressure: effects on patients with acute bilateral lung disease Anesthesiology 61(5): 511-517
Osswald, P.M.; Bender, H.J.; Hartung, H.J.; Klose, R.; Olsson, S.G.; Weller, L. 1983: Effects of positive end-expiratory pressure (PEEP) or prolonged inspiration time on lung mechanics, gas exchange and hemodynamics in differential pulmonary ventilation Der Anaesthesist 32(3): 99-104
Ivanov, G.G. 1984: Hemodynamic changes during long-term artificial pulmonary ventilation with positive end-expiratory pressure in terminal-stage patients Anesteziologiia i Reanimatologiia 1984(2): 49-51
Tuleshova, E.S.; Muratkhanov, E.Zh.; Dzhunusbekov, A.D. 1988: Effect of long-term artificial ventilation of the lungs with positive end-expiratory pressure on blood circulation in phthisio-surgical patients Anesteziologiia i Reanimatologiia 1988(2): 62-66
Eggink, W.F.; Bruining, H.A. 1977: Respiratory distress syndrome caused by near- or secondary drowning and treatment by positive end-expiratory pressure ventilation Netherlands Journal of Medicine 20(4-5): 162-167
Labrousse, J.; Tenaillon, A.; Longchal, J.; Chastre, J.; Lissac, J. 1979: Optimal expiratory positive pressure during artificial ventilation. Application in the treatment of respiratory distress syndrome in the adult La Nouvelle Presse Medicale 8(10): 759-763
Shamir, M.; Gozal, Y.; Weiss, Y.; Ronin, L.; Raphael, J. 2002: Asynchronous independent intermittent positive pressure ventilation as a solution to refractory hypoxemia during chest surgery Anesthesiology 97(3): 743-745
Kacmarek, R.M.; Dimas, S.; Reynolds, J.; Shapiro, B.A. 1982: Technical aspects of positive end-expiratory pressure (PEEP): Part II. PEEP with positive-pressure ventilation Respiratory Care 27(12): 1490-1504
Blackstone, E.; Bruining, H.A. 1974: Positive end-expiratory pressure ventilation in drowned persons Nederlands Tijdschrift Voor Geneeskunde 118(20): 754-758
Civetta, J.M.; Shapiro, B.A.; Stevens, P.M. 1977: Positive end-expiratory pressure (PEEP) and intermittent mandatory ventilation (IMV): a discussion Respiratory Care 22(10): 1111 1113-5 1117 Passim
Walter, P.F.; Schlant, R.C.; Glenn, J.F.; Mikolich, J.R. 1983: Darsee JR, Mikolich JR, Walter PF, Schlant RC (1981). Paradoxical rise in left ventricular filling pressure in the dog during positive end-expiratory pressure ventilation. Circ Res 49:1017-1028 Circulation Research 53(6): 837
Patel, H.; Yang, K.L. 1995: Variability of intrinsic positive end-expiratory pressure in patients receiving mechanical ventilation Critical Care Medicine 23(6): 1074-1079
Lewinsohn, G.; Bourvine, A. 1981: High positive end expiratory pressure and low rate of intermittent mandatory ventilation for hypoxemia Harefuah 101(7-8): 162-166
Evron, S.; Kotev, S. 1978: Positive end-expiratory pressure ventilation in adult respiratory distress syndrome secondary to septicemia Harefuah 94(9): 266-270
Hammon, J.W.; Wolfe, W.G.; Moran, J.F.; Jones, R.H.; Sabiston, D.C. 1976: The effect of positive end-expiratory pressure on regional ventilation and perfusion in the normal and injured primate lung Journal of Thoracic and Cardiovascular Surgery 72(5): 680-689
van Haeringen, J.R.; Blokzijl, E.J.; van Dijl, W.; Kleine, J.W.; Peset, R.; Sluiter, H.J. 1975: Prognosis of post-neonatal respiratory distress syndrome (RDS) treated with positive end-expiratory pressure ventilation (PEEP) Scandinavian Journal of Respiratory Diseases 56(4): 185-194
Arvidsson, D.; Lindgren, S.; Almqvist, P.; Andersson, K.E.; Haglund, U. 1990: Role of the renin-angiotensin system in liver blood flow reduction produced by positive end-expiratory pressure ventilation Acta Chirurgica Scandinavica 156(5): 353-358
L'Her, E.; Duquesne, F.; Paris, A.; Mouline, J.; Renault, A.; Garo, B.; Boles, J.M. 1998: Spontaneous positive end-expiratory pressure ventilation in elderly patients with cardiogenic pulmonary edema. Assessment in an emergency admissions unit Presse Medicale 27(22): 1089-1094
Li, J.; Zhang, D-hou.; Huang, X-feng.; Ding, M.; Shu, G-rong. 2005: Comparison of noninvasive positive pressure ventilation and invasive positive pressure ventilation in patients with acute respiratory failure Chinese Medical Sciences Journal 20(2): 150
Kolobow, T.; Powers, T.; Mandava, S.; Aprigliano, M.; Kawaguchi, A.; Tsuno, K.; Mueller, E. 1994: Intratracheal pulmonary ventilation (ITPV): control of positive end-expiratory pressure at the level of the carina through the use of a novel ITPV catheter design Anesthesia and Analgesia 78(3): 455-461