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One-lung high-frequency ventilation in the management of traumatic tear of bronchus in a child.

Pizov R, Shir Y, Eimerl D, Uretzky G, Milgalter E, Cotev S.

Department of Anesthesiology, Hadassah University Hospital, Jerusalem, Israel.

An 8-yr-old child suffered traumatic bilateral pneumothoraces and a ruptured right main bronchus. Surgical repair of the bronchus was postponed for 18 h after a definite diagnosis was established due to severe hypoxemia and hypercarbia. Only left endobronchial high-frequency ventilation with muscle relaxation corrected this pulmonary dysfunction sufficiently to enable surgical intervention.

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PMID: 3677770 [PubMed - indexed for MEDLINE]