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Ann Fr Anesth Reanim · Jul 2007
Case Reports[Refractory hypoxemia treated early by HFO in a severe traumatic brain injury patient].
- L Bellamy, G Guéret, H Floch, J-P Wargnier, E Kailitzis, and C-C Arvieux.
- Pôle anesthésie réanimation Samu, CHU de la Cavale-Blanche, Brest, France. lorennb@yahoo.fr <lorennb@yahoo.fr>
- Ann Fr Anesth Reanim. 2007 Jul 1;26(7-8):685-7.
AbstractA 23-year-old man without previous medical history, was transferred to our surgical intensive care unit for management of a traumatic brain injury (Glasgow Coma Score of 3 on admission). He rapidly presented a refractory hypoxaemia essentially due to posterior alveolar collapse. Severe hypoxaemia and hypercarboxaemia didn't respond to conventional ventilation and complicated the management of the brain injury and the control of intracranial pressure. The introduction of high-frequency oscillatory ventilation permitted a respiratory improvement in 48 hours and a good neurological outcome.
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