A Method for Lung Recruitment in a Quadriplegic Patient: A Case Presentation
Abstract
A 21-year old man with cervical spinal cord damage due to diving was admitted in the ICU. Tracheostomy was performed due to prolonged mechanical ventilation. Left lung atelectasis happened frequently. Because of the difficulty of bronchoscopy and failing of recruitment, using a double lumen, two tracheal tubes were guided into the left and right lungs through the tracheostomy stoma site. After 24 hours, the left lung was opened and ventilation was continued with a tracheostomy tube.
Wicks AB, Menter RR. Long term outlook in quadriplegic patients with initial ventilator dependency. Chest. 1986; 90(3):406-10.
Mansel JK, Norman JR. Resiratory complication and management of spinal cord injuries. Chest. 1990; 97(6):1446-52.
Macintyre NR. Evidence-based assessments in the ventilator discontinuation process. Respir Care. 2012; 57(10):1611-8.
Zimmer MB, Nantwi K, Goshgarian HG. Effect of Spinal Cord Injury on the Respiratory System: Basic Research and Current Clinical Treatment Options. J Spinal Cord Med. 2007; 30(4):319-30.
Standring S. Gray's Anatomy. Churchill Livingstone Elsevier, 40th ed, section 6, page 1010 2008.
Peterson WP, Barbalata L, Brooks CA, Gerhart KA, Mellick DC, Whiteneck GG. The effect of tidal volume on the time to wean persons with high tetraplegia from ventilators. Spinal Cord. 1999; 37(4):284-8.
Ball PA. Critic Care of spinal cord injury. Spine. 2001; 26(24 Suppl):S27-30.
Evans LT, Lollis SS, Ball PA. Management of Acute Spinal Cord Injury. Neurosurg Clin N Am. 2013; 24(3):339-47.
Jackson AB, Groomes TE. Incidence of respiratory complications following spinal cord injury. Arch Phys Med Rehabil. 1994; 75(3):270-5.
Fishburn MJ, Marino RJ, Ditunno JF Jr. Atelectasis and pneumonia in acute spinal cord injury. Arch Phys Med Rehabil. 1990; 71(3):197-200.
Tuxen D: Independent lung ventilation. Principles and Practice of Mechanical Ventilation. Tobin MJ (ed). McGraw-Hill; 2006:573-593.
Glass DD, Tonnesen AS, Gabel JC, Arens JF. Therapy of unilateral pulmonary insufficiency with a double lumen endotracheal tube. Crit Care Med. 1976; 4(6):323-6.
Ost D, Corbridge T. Independent lung ventilation. Clin Chest Med. 1996; 17(3):591-601.
Hillman K, Barber JD. Asynchronous independent lung ventilation (AILV). Crit Care Med. 1990, 8(7):390-5.
Claypool WD, Rogers RM, Matuschak GM. Update on the clinical diagnosis, management, and pathogenesis of pulmonary alveolar proteinosis (phospholipidosis). Chest. 1984; 85(4):550-8.
Carvalho P, Thompson WH, Riggs R, Carvalho C, Charan NB. Management of bronchopleural fistula with a variable-resistance valve and a single ventilator. Chest. 1997; 111(5):1452-4.
Miranda D, Diederik G, Burkhard L. Open Lung Management in Mechanical Ventilation. Clinical Applications and Pathophysiology. Sauders Elsevier 2008, 276-285.
Maung AA, Kaplan LJ. Airway Pressure Release Ventilation in Acute Respiratory Distress Syndrome. Crit Care Clin. 2011; 27(3):501-9.
| Files | ||
| Issue | Vol 1 No 4 (2015): Autumn |
|
| Section | Case Report(s) | |
| Keywords | ||
| spinal cord injury ventilator dependency weaning recruitmen | ||
| Rights and permissions | |
|
This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. |
