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Chylothorax: a novel therapy
1Department of Pediatrics, State University of New York, Syracuse, USA.
Critical Care Medicine
|May 16, 2000
Abstract
Objective:
To report a novel therapy for chylothorax.
Design:
Case report.
Patient:
Severely ill neonate with congestive heart failure and high surgical risk.
Interventions:
Standard therapy for chylous effusion with the addition of pressure control ventilation and positive end-expiratory pressure (high mean airway pressure).
Results:
Rapid resolution of effusion with elimination of excessive fluid needs and correction of coagulation profile.
Conclusion:
Increasing mean airway pressure by pressure control ventilation and positive end-expiratory pressure should be considered as a therapeutic intervention in patients with persistent chylous effusions.