Sahoo Alok Kumar, Tripathy Swagata, Singh Santosh Kumar
Anaesthesiology & Critical Care medicine, All India Institute of Medical Sciences Bhubaneswar, Bhubaneswar, Odisha, India.
Medicine, Siksha O Anusandhan University Institute of Medical Sciences and SUM Hospital, Bhubaneswar, Odisha, India.
BMJ Case Rep. 2019 Mar 12;12(3):e227892. doi: 10.1136/bcr-2018-227892.
Prone ventilation is used to manage patients with refractory hypoxia in the critical care unit. Complex chest trauma and chest drains have been a considered relative contraindication to prone ventilation. To the best of our knowledge, it is hitherto unreported in patients having traumatic floating sternum and acute respiratory distress. We present a brief case report of a patient with floating sternum (complete disruption of sternum) managed successfully by prone position ventilation.
俯卧位通气用于重症监护病房中难治性低氧血症患者的治疗。复杂的胸部创伤和胸腔引流管曾被视为俯卧位通气的相对禁忌证。据我们所知,外伤性浮动胸骨合并急性呼吸窘迫的患者中迄今尚未见相关报道。我们报告一例通过俯卧位通气成功治疗的浮动胸骨(胸骨完全断裂)患者的简要病例。