• ASAIO J. · Jul 2011

    Case Reports

    Bronchopleural fistulae and pulmonary ossification in posttraumatic acute respiratory distress syndrome: successful treatment with extracorporeal support.

    • Michela Bombino, Nicolò Patroniti, Giuseppe Foti, Stefano Isgrò, Giacomo Grasselli, and Antonio Pesenti.
    • Department of Intensive Care, Ospedale San Gerardo, Monza, Italy. bombino@libero.it
    • ASAIO J. 2011 Jul 1;57(4):336-40.

    AbstractWe report a case of severe posttraumatic acute respiratory distress syndrome (ARDS) complicated by bronchopleural fistulae (BPF). The stiff ARDS lung and huge air leaks from BPF resulted in the failure of different protective mechanical ventilation strategies to provide viable gas exchange. Lung rest, achieved by extracorporeal carbon dioxide removal (ECCO₂R), allowed weaning from mechanical ventilation, closure of BPF, and resumption of spontaneous breathing.

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