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Crit Care Med. 2000 Apr;28(4):1208-9.

Chylothorax: a novel therapy.

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  • 1Department of Pediatrics, State University of New York, Syracuse, USA.

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.

PMID:
10809307
[PubMed - indexed for MEDLINE]
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