Minhas Jasmit S, Halligan Kyle, Dargin James M
Department of Medicine, Lahey Clinic, Burlington, MA, USA.
Department of Medicine, Lahey Clinic, Burlington, MA, USA.
Heart Lung. 2016 May-Jun;45(3):258-60. doi: 10.1016/j.hrtlng.2016.02.007. Epub 2016 Apr 2.
Independent lung ventilation is a decades-old, but infrequently used technique for physiological separation in critically-ill patients with asymmetric lung disease. Here we present a case report of bilateral necrotizing pneumonia complicated by acute respiratory distress syndrome and bronchopleural fistula, which was successfully managed with independent lung ventilation. The use of independent lung ventilation allowed for adequate oxygenation with use of high positive end expiratory pressure in the "good lung" while simultaneously allowing for closure of the bronchopulmonary fistula in the contralateral lung by maintaining relatively low airway pressures.
独立肺通气是一项已有数十年历史但在患有不对称肺部疾病的重症患者中很少使用的生理分离技术。在此，我们报告一例双侧坏死性肺炎合并急性呼吸窘迫综合征及支气管胸膜瘘的病例，该病例通过独立肺通气成功得到救治。使用独立肺通气可在“健侧肺”使用高呼气末正压的情况下实现充分氧合，同时通过维持相对较低的气道压力使对侧肺的支气管肺瘘得以闭合。
