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Novel treatment (new drug/intervention; established drug/procedure in new situation)
CASE REPORT
Prone ventilation in a patient with severe ARDS having a floating sternum
  1. Alok Kumar Sahoo1,
  2. Swagata Tripathy1 and
  3. Santosh Kumar Singh2
  1. 1 Anaesthesiology & Critical Care medicine, All India Institute of Medical Sciences Bhubaneswar, Bhubaneswar, Odisha, India
  2. 2 Medicine, Siksha O Anusandhan University Institute of Medical Sciences and SUM Hospital, Bhubaneswar, Odisha, India
  1. Correspondence to Dr Alok Kumar Sahoo, alokks108{at}gmail.com

Abstract

Prone ventilation is used to manage patients with refractory hypoxia in the critical care unit. Complex chest trauma and chest drains have been a considered relative contraindication to prone ventilation. To the best of our knowledge, it is hitherto unreported in patients having traumatic floating sternum and acute respiratory distress. We present a brief case report of a patient with floating sternum (complete disruption of sternum) managed successfully by prone position ventilation.

  • mechanical ventilation
  • trauma
  • adult intensive care

http://dx.doi.org/10.1136/bcr-2018-227892

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    Footnotes

    • Contributors Planning: AKS, ST. Conduct: AKS, ST, SKS. Reporting: AKS. Conception and design: AKS, ST, SKS. Acquisition of data: SKS. Analysis and interpretation of data: AKS, ST. Manuscript: AKS. Review of Manuscript-ST.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.

    • Patient consent for publication Obtained.