Ventilator-Associated Necrotizing Tracheobronchitis in a Patient on High-Frequency Oscillatory Ventilation

被引：2

作者：

Bunt, Christopher W. ^{[1
]}

Chung, Kevin K. ^{[2
]}

Omron, Edward N. ^{[3
]}

Myers, Janet ^{[3
]}

Gilbert, Russell C. ^{[3
]}

Christensen, Rebecca ^{[4
]}

机构：

[1] Malcolm Grow Med Ctr, Family Med, Andrews Airforce Base, MD USA

[2] Walter Reed Army Med Ctr, Crit Care Med, Washington, DC 20307 USA

[3] Natl Naval Med Ctr, Pulm & Crit Care, Bethesda, MD USA

[4] Natl Naval Med Ctr, Dept Pathol, Bethesda, MD USA

来源：

JOURNAL OF BRONCHOLOGY & INTERVENTIONAL PULMONOLOGY | 2005年 / 12卷 / 02期

关键词：

oscillatory; necrotic; tracheobronchitis; adult; ventilator; complication; associated;

D O I：

10.1097/01.laboratory.0000157385.86350.a1

中图分类号：

R56 [呼吸系及胸部疾病];

学科分类号：

摘要：

High-frequency oscillatory ventilation (HFOV) is used extensively in the neonatal population. In adults, it is still considered an alternative mode of ventilation for cases of severe acute respiratory distress syndrome refractory to conventional mechanical ventilation (CMV). Reported complications with HFOV among adults include pneumothorax, pneumomediastinum, and subcutaneous emphysema. Ventilator-associated necrotizing tracheobronchitis (VANTB) is a well-documented complication with HFOV in neonates. In adults, only 11 cases have been reported, 9 patients on high-frequency jet ventilation, and 2 patients on CMV. We report a case of VANTB in an adult on HFOV, discuss potential causes, and offer management options.

引用

页码：96 / 99

页数：4

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