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