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Pressure-controlled inverse-ratio synchronised independent lung ventilation for a blast wound to the chest
D C Watts1, C B Boustany, N Lund
1Department of Anesthesiology and Surgery, School of Medicine and Dentistry, University of Rochester, New York 14642.
Abstract:
Massive unilateral pulmonary injury poses a severe ventilatory problem. We used pressure-controlled, inverse-ratio, independent lung ventilation for a shotgun injury. Two synchronised Siemens Servo 900C ventilators were connected to a double lumen endotracheal tube. Arterial pO2 tripled in 15 minutes, and the patient remained on SILV for 36 hours.