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    Management of a Patient with an Encapsulated Parapneumonic Empyema Complicated by the Intraoperative Development of an Acute Bronchopleural Fistula and ARDS

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    Authors
    Lee, Nancy
    Heard, Stephen O.
    UMass Chan Affiliations
    Department of Anesthesiology
    Document Type
    Poster
    Publication Date
    2012-03-24
    Keywords
    Empyema
    Abscess
    Respiratory Tract Fistula
    Respiratory Distress Syndrome, Adult
    Anesthesiology
    Respiratory Tract Diseases
    
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    Abstract
    We report the use of independent lung ventilation (ILV) in a patient with severe underlying parenchymal disease who developed bronchopleural fistula (BPF) after thoracotomy and decortication of an empyema with subsequent development of acute respiratory distress syndrome (ARDS). While a great majority of patients with either ARDS or BPF can be successfully managed with conventional ventilation strategies, the additional management challenges presented by BPF in the setting of ARDS and sepsis often necessitate the utilization of alternative ventilation strategies such as ILV, high frequency ventilation (HFV), and extracorporeal support.
    DOI
    10.13028/cb02-zs89
    Permanent Link to this Item
    http://hdl.handle.net/20.500.14038/25709
    Notes

    Poster presentation at the New England Anesthesia Resident Conference, held on March 24, 2012 in Burlington, VT.

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