Abstract:

Patient who had pneumothorax and suffered convulsion during chest tube revision was intubated due to respiratory failure and transferred from the service of the department of Children’s Health, and Diseases to its intensive care unit. The patient was ventilated in SIMV-PS (synchronized intermittent mandatory ventilation-pressure support) mode by mechanical ventilator. Control blood gas pH and pCO2 values were 7.01 and 115 mmHg, respectively. Then, the patient was weaned from mechanical ventilation and high-frequency oscilatory ventilation application was started. Respiratory acidosis improved and the oxygenation index decreased during blood gas monitoring. On the 7th day, patient was connected to conventional mechanical ventilation. Pulmonary wedge resection was performed for diagnostic purposes. Cystic adenomatoid malformation was diagnosed histopatologically. Patient was gradually separated from the ventilator on the 26th day of hospitalization. Chest tube was withdrawn and the patient was transferred to the ward of the department of pediatrics.

Keywords: