scholarly journals Pneumomediastinum Mimicking Congenital Pulmonary Airway Malformation

Children ◽  
2019 ◽  
Vol 6 (9) ◽  
pp. 104
Author(s):  
Kylat

Pneumomediastinum is the collection of free air in the mediastinum. Its incidence is higher in preterm infants and those on positive airway pressure support or on mechanical ventilation. But it has decreased dramatically after the introduction of surfactant and synchronized, non-invasive mechanical ventilation. Underlying cystic lesions could also increase the risk of pneumomediastinum and other air leak syndromes. Most cases resolve spontaneously but rare hemodynamic compromise may require ultrasound-guided intervention.

2018 ◽  
Vol 21 (2) ◽  
pp. 070
Author(s):  
Amit Prasad ◽  
Kai Singbartl ◽  
Behzad Soleimani ◽  
Christoph Brehm ◽  
Ali Ghodsizad

Because of the risks associated with extended mechanical ventilation, it is desirable to extubate patients as early as possible. However, weaning patients from mechanical ventilation too early has risks associated with it as well. Thus, it is important to note that in the two cases presented here, pressure-supported breaths were falsely triggered by a patient’s a Syncardia® total artificial heart (TAH), influencing decisions about weaning the patient from mechanical ventilation. 


2021 ◽  
Vol 53 (5) ◽  
pp. 403-410
Author(s):  
Killen Harold Briones Claudett ◽  
Antonio Esquinas Rodriguez ◽  
Mónica H. Briones Claudett ◽  
Miguel Puga Tejada ◽  
Mariuxi del Pilar Cabrera Bańos ◽  
...  

2020 ◽  
Vol 1 (2) ◽  
pp. 91-100
Author(s):  
Eva Marti

Background: Cardiogenic Pulmo edema can cause a heterogeneous syndrome with a mortality rate of up to 9.5% (Aliberti et all., 2018).Objective: The purpose of this paper was to explain how effective the use of non-invasive mechanical ventilation in patients with acute pulmonary edema with respiratory failure. Methods: The literature review was compiled by synthesizing and comparing various relevant scientific articles from the literature search results using the online database of Proquest and Clinicalkey Elsevier that have significance related to the management of acute cardiogenic pulmo edema. Result: Compared with conservative therapy,  noninvasive mechanical ventilation has been shown more effective in improving oxygenation in patients with acute cardiogenic pulmo edema Non-invasive ventilation can reduce dyspnea, acidosis and hypercapnea faster than standard oxygen therapy. Studies show that compared to endotracheal intubation, non-invasive mechanical ventilation is associated with a lower risk of nosocomial infection, lower antibiotic use, shorter length of stay in intensive care units and lower mortality. Study found that there were no differences betwen the two setting of non-invasive mechanical ventilation used, Bilevel positive Airway Pressure (BiPAP) and Continues positive Airway Pressure (CPAP) in  patients outcomes. However, there are absolute and relative contraindications that must be considered, including the effectiveness of the therapy being insignificant when given too late Conclusion: Noninvasive mechanical ventilation can be considered as the first choice in the management of acute cardiogenic pulmonary edema because of its high clinical effectiveness representing a rescue action for patients not improving with conventional oxygen therapy.


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