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Conventional mechanical ventilation in unilateral pulmonary contusion following blunt chest trauma

Authors:

R. H. Gunawardana ,

University of Peradeniya, LK
About R. H.
Associate Professor, Department of Anaesthesiology, Faculty of Medicine
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M. Brabaharan,

Teaching Hospital, Peradeniya, LK
About M.
Medical Officer, Intensive Care Unit
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T. Athithan

Teaching Hospital, Peradeniya, LK
About T.
Medical Officer, Intensive Care Unit
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Abstract

Twelve patients with unilateral pulmonary contusion following blunt chest trauma received conventional mechanical ventilation for hypoxaemic respiratory failure. Nosocomial pneumonia and adult respiratory distress syndrome developed in all patients resulting in prolonged ventilator therapy. Conventional ventilatory support was not successful in reducing morbidity. The optimum pattern of mechanical ventilation in pulmonary contusion remains controversial. Split lung ventilation with selective separate tidal volumes and positive end expiratory pressure has shown encouraging results in some studies. Alternative treatment modalities are necessary to salvage oxygenation and reduce morbidity in these patients.
How to Cite: Gunawardana, R.H., Brabaharan, M. and Athithan, T., 1996. Conventional mechanical ventilation in unilateral pulmonary contusion following blunt chest trauma. Ceylon Journal of Medical Science, 39(2), pp.75–77.
Published on 29 Dec 1996.
Peer Reviewed

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