Non invasive respiratory support successfully used in a multi-trauma setting
"A 42 year-old male restrained driver was brought to the trauma bay with multiple injuries. These included: aortic transection, frontal lobe hemorrhages, bilateral pneumothoraces, multiple rib fractures, diaphragmatic rupture, C7 fracture, and pubic rami fractures. After surgical repair, the patient was transferred to the Kessler Burn Trauma ICU sedated and ventilated. Serial bronchoscopies were performed to improve aeration of his left lung over the next week. The patient was extubated on POD # 9 but required reintubation the following day due to lung collapse. A regimen of non invasive positive pressure ventilation was initiated to avoid reintubation for repeated bronchoscopies. The therapy was successful and the patient progressed to room air after one week.
Pabst Science Publishers (Lengerich/Westfalia, Germany) is publishing ten psychological and nine medical journals; furthermore, Pabst is publishing more than hundred psychological and medical books per year – partly specialized scientific literature, partly specialist literature written for laypeople.
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