Drowning related Lung Injury- Bronchoscopic Intervention скачать в хорошем качестве

Drowning related Lung Injury- Bronchoscopic Intervention

Division of interventional pulmonology Yashoda hospital Hyderabad 59yr old male, Diabetic, Hypertensive, Hypothyroid and history of SDH- s/p craniotomy and titanium mesh 15yrs back leading to shrinking of visual field H/o fall from two-wheeler into sewage drain previous night at 11.30pm- ? couldn’t see due to diminished vision, was found submerged and afloat when seen by neighbour and removed. LOC+. Was taken to nearby hospital after which he gained consciousness and said he is OK. Slight disorientation+ and went home. No external injuries were found. c/o Shortness of breath and stridor, Taken to nearby hospital, diagnosed as aspiration pneumonia and intubated in view of respiratory failure at 2.30AM. Patient was treated with meropenem, metronidazole. CT done showed bilateral GGOs involving all lobes. He was referred for further management. At Emergency room, Spo2-96%, PR of 117 on MV- Volume control- Fio2 100%, PEEP 5, TV- 420ml, RR-17cpm. ABG- 7.36/37/141/21/2.2 FOB was done at emergency room showed sand and slimy slough like material in the main airway which was cleared. Shited to ICU. BAL culture did not grow any organisms. KOH smear was negative. CXR showed bilateral Non homogenous opacities involving all lobes. Patient improved on MV in 3days and was planned for extubation the next day. Repeat showed normal endobronchial tree and slimy secreations in the ET tube which was cleared. Patient was extubated to NIV the next day and shifted to rehab facility and was stable on review #Interventionalpulmonology #bronchoscopy #womeninip