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  • Title: A case of pneumomediastinum in paediatric ARDS: to oscillate or not?
    Author: McGinley J, Corcoran T, Canny G, O'Hare B.
    Journal: Paediatr Anaesth; 2001 May; 11(3):366-9. PubMed ID: 11359599.
    Abstract:
    An 18-month-old was transferred (intubated and ventilated) to our hospital with staphylococcal tracheitis, which progressed to a necrotizing pneumonitis, complicated by surgical emphysema and pneumomediastinum. Maximum conventional ventilation on a Servo 300 failed. Treatment with high frequency oscillatory ventilation (for 10 days) with a permissive hypercarbia and hypoxaemia strategy to limit mean airway pressure facilitated recovery in our patient.
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