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Related Experiment Videos

Airway pressure release ventilation by mask.

I T Jousela1, P Nikki, J Tahvanainen

  • 1Department of Anaesthesia, Helsinki University Central Hospital, Finland.

Critical Care Medicine
|December 1, 1988
PubMed
Summary

Airway Pressure Release Ventilation (APRV) provided effective mechanical ventilation for a patient with mediastinitis following thymectomy. This approach, used both invasively and non-invasively via mask, facilitated successful patient recovery.

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Area of Science:

  • Critical Care Medicine
  • Respiratory Therapy
  • Thoracic Surgery

Background:

  • Mediastinitis presents a significant complication following thoracic procedures, such as thymectomy for myasthenia gravis.
  • Effective mechanical ventilation is crucial for managing respiratory compromise in these critically ill patients.

Observation:

  • A 53-year-old female patient diagnosed with myasthenia gravis underwent a thymectomy.
  • Post-operatively, the patient developed mediastinitis, necessitating mechanical ventilation.
  • Airway Pressure Release Ventilation (APRV) was initiated upon intubation.

Findings:

  • The patient was successfully managed with APRV throughout the intubation period.
  • APRV was continued non-invasively using a mask for two days post-extubation.

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  • Mask-delivered APRV demonstrated efficient mechanical ventilation capabilities.

    • Implications:

    • Airway Pressure Release Ventilation (APRV) offers a viable and effective ventilatory strategy for patients with mediastinitis.
    • Non-invasive APRV via mask can be successfully employed in the post-extubation phase, potentially reducing complications.
    • This case highlights the adaptability and efficacy of APRV in complex thoracic surgical patients requiring respiratory support.