• Revista médica de Chile · Feb 2003

    Case Reports

    [Mechanical ventilation to treat acute respiratory distress syndrome secondary to descending necrotizing mediastinitis. Role of dynamic axial computed tomography of the lung].

    • Guillermo Bugedo, Alejandro Bruhn, Glenn Hernández, Gonzalo Rojas, Rodrigo Aparicio, and Luis Castillo.
    • Programa de Medicina Intensiva, Departamentos de Anestesiología, Radiología y Enfermedades Respiratorias, División de Cirugía, Hospital Clínico Pontificia Universidad Católica de Chile. bugedo@med.puc.cl
    • Rev Med Chil. 2003 Feb 1;131(2):200-8.

    AbstractLung computed tomography (CT) is being used increasingly to assess lung morphology in patients on mechanical ventilation. Lung CT under known levels of airway pressure (dynamic CT) can also assess the response of lung parenchyma to ventilatory therapy. We report a patient with acute respiratory distress syndrome secondary to descending necrotizing mediastinitis, in whom lung dynamic CT oriented ventilatory management. Independent lung ventilation improved gas exchange and helped patient recovery.

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