Ventilación en posición prono prolongada como alternativa en el tratamiento del síndrome de distrés respiratorio agudo grave posneumonectomía: Caso clínico
-
Rodrigo Cornejo [1] ; Carlos Romero [1] ; Daniela Goñi [1] ; Rafael Luengas [1] ; Osvaldo Llanos [1] ; Ricardo Gálvez [1] ; José Castro [1]
-
[1] Universidad de Chile
Universidad de Chile
Santiago, Chile
-
- Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 137, Nº. 10, 2009, págs. 1351-1356
- Idioma: español
- Títulos paralelos:
- Prolonged prone position ventilation for severe respiratory distress syndrome post-pneumonectomy: Report of one case
- Enlaces
-
Resumen
Management of patients with severe respiratory failure is mainly supportive, and protective mechanical ventilation is the pivotal treatment. When conventional therapy is insufficient to improve oxygenation without deleterious effects, other strategies should be considered. We report a 53 year-old male who presented a severe respiratory failure refractory to conventional management after pneumonectomy. Prone position ventilation was used for 36 hours. Respiratory variables improved and he did not show hemodynamic instability. He was returned to the supine position without worsening of oxygenation parameters. Extended prone position ventilation could be considered in patients presenting with unresponsive severe respiratory failure after pulmonary resection.
