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Prone ventilation in a patient with severe ARDS having a floating sternum
Alok Kumar Sahoo1, Swagata Tripathy1, Santosh Kumar Singh2
1Anaesthesiology & Critical Care medicine, All India Institute of Medical Sciences Bhubaneswar, Bhubaneswar, Odisha, India.
BMJ Case Reports
|March 14, 2019
Summary
Prone ventilation successfully managed a patient with a traumatic floating sternum and acute respiratory distress. This case demonstrates that prone positioning can be safe and effective even with complex chest trauma.
Area of Science:
- Critical Care Medicine
- Respiratory Physiology
- Trauma Surgery
Background:
- Prone ventilation is a key intervention for refractory hypoxia in intensive care units.
- Complex chest trauma, including chest drains, is often a contraindication for prone positioning.
- Floating sternum, a severe sternal disruption, presents unique challenges in respiratory management.
Observation:
- A patient with a traumatic floating sternum and acute respiratory distress was admitted to the critical care unit.
- The patient's condition necessitated advanced respiratory support.
Findings:
- Prone position ventilation was successfully implemented in a patient with a traumatic floating sternum and acute respiratory distress.
- This management approach proved effective despite the complex chest injury.
Implications:
- This case suggests that prone ventilation may be a viable option for patients with severe chest trauma, including floating sternum.
- Further research could explore the safety and efficacy of prone positioning in similar complex trauma cases.
- This finding challenges previous contraindications for prone ventilation in specific severe chest trauma scenarios.
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