Management of tension pneumatocele with high-frequency oscillatory ventilation

Chest. 2002 Jan;121(1):284-6. doi: 10.1378/chest.121.1.284.

Abstract

We report the successful application of high-frequency oscillatory ventilation in a patient with tension pneumatocele (TP). The proposed check-valve mechanism for the development of pneumatoceles predicts that positive-pressure ventilation could lead to distension of these airspaces and formation of TPs. Therefore, high-frequency ventilation could be more applicable in conditions, such as massive air leak due to bronchopleural fistula, that are difficult to manage by conventional ventilator modes.

Publication types

  • Case Reports

MeSH terms

  • Bronchial Fistula / diagnostic imaging
  • Bronchial Fistula / therapy
  • Chest Tubes
  • Child, Preschool
  • Cysts / diagnostic imaging
  • Cysts / therapy*
  • Female
  • Fistula / diagnostic imaging
  • Fistula / therapy
  • High-Frequency Jet Ventilation*
  • Humans
  • Lung Diseases / diagnostic imaging
  • Lung Diseases / therapy*
  • Oxygen / blood
  • Pleural Diseases / diagnostic imaging
  • Pleural Diseases / therapy
  • Pneumonia, Pneumococcal / diagnostic imaging
  • Pneumonia, Pneumococcal / therapy*
  • Pneumothorax / diagnostic imaging
  • Pneumothorax / therapy*
  • Radiography
  • Treatment Outcome

Substances

  • Oxygen