PMC3035030_01
Chest X-ray of case 1.
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F1
On admission the patient presented severe acute respiratory distress syndrome (ARDS) for which he required high MV parameters (Figure 1).
PMC3035030_02
Chest X-ray of case 2.
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F2
He presented severe ARDS and hypoxemia and required high MV parameters remaining ventilated for 51 days (Figure 2).
Chest X-ray of case 3.
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F3
During her prolonged stay in PICU (111 days) she required MV due to ARDS with severe hypoxemia (Figure 3).
Chart of weaning. EET: Endotracheal tube TV: Tidal Volume PIP: Peak inspiratory pressure PEEP: Positive end espiratory pressure f: Respiratory rate FIO2: fraction of inspired oxygen PAW: medium airway pressure PSV: Pressure support ventilation SpO2: oxygen partial saturation T: temperature MAP: mean arterial pressure
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F4
Once the patient managed to remain 12 hours on CPAP + PSV, this modality was alternated with T-piece whose duration was progressively incremented (Figure 4).