MANAGEMENT OF SEVERE ACUTE RESPIRATORY DISTRESS SYNDROME IN A PERIPHERAL FIELD ARMY HOSPITAL USING A TRANSPORT VENTILATOR -

Lt Col (Dr) Ajit Bhardwaj

Volume : VIII, Issue : IX, September - 2019

MANAGEMENT OF SEVERE ACUTE RESPIRATORY DISTRESS SYNDROME IN A PERIPHERAL FIELD ARMY HOSPITAL USING A TRANSPORT VENTILATOR -"CHALLENGES OF AN ANAESTHESIOLOGIST IN A REMOTE LOCATION"- A CASE REPORT

Lt Col Dr Ajit Bhardwaj

Abstract :

Since World War I, it has been recognized that some patients with massive transfusion, sepsis, severe pancreatitis and other conditions develop respiratory distress, diffuse lung infiltrates, and respiratory failure, sometimes after a delay of hours to days. A clear definition of the syndrome was developed in 1994 by the American-European Consensus Conference (AECC) on acute respiratory distress syndrome (ARDS). ARDS causes a marked increase in intrapulmonary shunting, leading to severe hypoxemia. Although a high FIO2 is required to maintain adequate tissue oxygenation and life, additional measures, like lung recruitment with PEEP, are often required. Here we describe a challenging case of severe ARDS managed in a peripheral field army hospital located in a remote area using a transport ventilator.