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

Lee, Nancy; Heard, Stephen O.

dc.contributor.author	Lee, Nancy
dc.contributor.author	Heard, Stephen O.
dc.date	2022-08-11T08:07:58.000
dc.date.accessioned	2022-08-23T15:37:25Z
dc.date.available	2022-08-23T15:37:25Z
dc.date.issued	2012-03-24
dc.date.submitted	2012-08-13
dc.identifier.doi	10.13028/cb02-zs89
dc.identifier.uri	http://hdl.handle.net/20.500.14038/25709
dc.description	<p>Poster presentation at the New England Anesthesia Resident Conference, held on March 24, 2012 in Burlington, VT.</p>
dc.description.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.
dc.language.iso	en_US
dc.rights	Copyright the Author(s)
dc.subject	Empyema
dc.subject	Abscess
dc.subject	Respiratory Tract Fistula
dc.subject	Respiratory Distress Syndrome, Adult
dc.subject	Anesthesiology
dc.subject	Respiratory Tract Diseases
dc.title	Management of a Patient with an Encapsulated Parapneumonic Empyema Complicated by the Intraoperative Development of an Acute Bronchopleural Fistula and ARDS
dc.type	Poster
dc.identifier.legacyfulltext	https://escholarship.umassmed.edu/cgi/viewcontent.cgi?article=1118&context=anesthesiology_pubs&unstamped=1
dc.identifier.legacycoverpage	https://escholarship.umassmed.edu/anesthesiology_pubs/114
dc.identifier.contextkey	3208325
refterms.dateFOA	2022-08-23T15:37:25Z
html.description.abstract	<p>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.</p>
dc.identifier.submissionpath	anesthesiology_pubs/114
dc.contributor.department	Department of Anesthesiology