• Crit Care Resusc · Dec 2006

    Case Reports

    Conservative management of flail chest after cardiopulmonary resuscitation by continuous negative extrathoracic pressure.

    • David M Linton and Sigal Sviri.
    • Medical Intensive Care Unit, Hadassah Hospital, Jerusalem, Israel.
    • Crit Care Resusc. 2006 Dec 1;8(4):339-40.

    AbstractFlail chest after blunt trauma usually requires good pain control and positive pressure support. Continuous negative extrathoracic pressure (CNEP) causes a splinting effect around the anterior chest wall and upper abdomen which increases functional residual capacity and improves lung mechanics. We report an 82-year-old woman with flail chest after cardiopulmonary resuscitation. She underwent mechanical ventilation, with two failed attempts at extubation. She was subsequently ventilated non-invasively using CNEP, allowing early successful extubation. This case illustrates the use of CNEP for weaning and ventilating patients with flail chest after blunt trauma.

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