Abstract
A case of a 53 year old lady who developed a unilateral “white lung” of unknown etiology three weeks after injury is described. The clinical picture was suggestive of a pleural or extra-pleural hematoma, and she was operated upon twice. During the second thoracotomy it became evident that the lesion was in the lung parenchyma. The patient was treated with differential lung ventilation with application of a high continuous positive airway pressure, followed by high frequency positive pressure ventilation (HFPPV) of the diseased lung with low frequency continuous positive pressure ventilation of the other lung. This technique proved to be simple and successful.
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Carlon GC, Ray C, Klein R, Goldeiner PL, Miodownik S (1978) Criteria for selective positive end-expiratory pressure and independent synchronized ventilation of each lung. Chest 74:501
Cavanilles JM, Garrigosa F, Prieto C, Oncins JR (1979) A selective ventilation distribution circuit (S.V.D.C.). Intensive Care Med 5:95
Fraser and Paré (1979) Diagnosis of diseases of the chest vol III. Saunders, Philadelphia, p 1617
Glass DD, Tonnesen AS, Gable JC, Arens JF (1976) Therapy of unilateral pulmonary insufficiency with a double lumen tube. Cirt Care Med 4:323
Powner DJ, Eross B, Grenvik A (1977) Differential lung ventilation with PEEP in the treatment of unilateral pneumonia. Crit Care Med 5:170
Sjöstrand U (1977) Experimental and clinical evaluation of highfrequency positive pressure ventilation. Acta Anaesthesiol Scand (Suppl): 64
Trew F, Rogers BW, Potter WA (1976) Differential ventilation of the lungs in man. Cirt Care Med 4:112
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Miranda, D.R., Stoutenbeek, C. & Kingma, L. Differential lung ventilation with HFPPV. Intensive Care Med 7, 139–141 (1981). https://doi.org/10.1007/BF01738617
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DOI: https://doi.org/10.1007/BF01738617