COMBINED SEVERE MYOCARDIAL AND PULMONARY CONTUSION - EARLY DIAGNOSIS WITH TRANSESOPHAGEAL ECHOCARDIOGRAPHY AND MANAGEMENT WITH HIGH-FREQUENCY JET VENTILATION - CASE-REPORT

Citation
G. Orliaguet et al., COMBINED SEVERE MYOCARDIAL AND PULMONARY CONTUSION - EARLY DIAGNOSIS WITH TRANSESOPHAGEAL ECHOCARDIOGRAPHY AND MANAGEMENT WITH HIGH-FREQUENCY JET VENTILATION - CASE-REPORT, The journal of trauma, injury, infection, and critical care, 34(3), 1993, pp. 455-457
Citations number
21
Categorie Soggetti
Emergency Medicine & Critical Care
Volume
34
Issue
3
Year of publication
1993
Pages
455 - 457
Database
ISI
SICI code
Abstract
We report the case of a 27-year-old patient with blunt thoracic trauma in whom transesophageal echocardiography enabled an early diagnosis o f severe myocardial contusion. Conventional mechanical ventilation dra matically enhanced cardiogenic shock because of myocardial contusion, requiring increasing doses of catecholamine. High-frequency jet ventil ation produced an immediate improvement in hemodynamic status, permitt ing a decrease in catecholamine administration.