PMC4476490_01
X-ray of chest of first case - ARDS following massive gastric content aspiration.. Abbreviation: ARDS, adult respiratory distress syndrome.
tcrm-11-961Fig1.jpg
PMC4476490_01_tcrm-11-961Fig1.jpg
f1-tcrm-11-961
He initially presented signs of acute lung injury, probably because of previous gastric content aspiration during initial period of neurological deterioration, evolving into full scale adult respiratory distress syndrome (ARDS) (Figure 1).
Presentation of Boussignac CPAP (Vygon, Ecouen, France) system during apneic test.
tcrm-11-961Fig2.jpg
PMC4476490_01_tcrm-11-961Fig2.jpg
f2-tcrm-11-961
To eliminate all possible concerns about achieved results we performed additional apneic tests with the use of Boussignac CPAP system (Figure 2).
PMC4476490_02
X-ray of chest of second patient - ARDS after lung embolism complicated by lung infection.. Abbreviation: ARDS, adult respiratory distress syndrome.
tcrm-11-961Fig3.jpg
PMC4476490_02_tcrm-11-961Fig3.jpg
f3-tcrm-11-961
Chest X-rays revealed lung embolism complicated by lung infection (Figure 3).
Picture of monitors - at the start of apneic test achieved EtCO2 was 40 mmHg, but in blood gasometry PaCO2 was 74 mmHg.. Note: Drager Infinity C 700 (upper monitor, showing among other parameters EtCO2 - yellow curve and numeric value) and Drager Infinity C 500 for Evita E ventilator (lower panel showing ventilation curves before start point for patient disconnection from ventilator and apneic test).
tcrm-11-961Fig4.jpg
PMC4476490_02_tcrm-11-961Fig4.jpg
f4-tcrm-11-961
The patient's lungs were ventilated with 100% oxygen to achieve 40 mmHg in EtCO2 (Figure 4).
Patient during second series of apneic test using Boussignac CPAP system (Vygon, Ecouen, France).
tcrm-11-961Fig5.jpg
PMC4476490_02_tcrm-11-961Fig5.jpg
f5-tcrm-11-961
We decided to perform second apneic test with the use of Boussignac CPAP system (Figure 5).