Objective: To report a novel therapy for chylothorax.
Design: Case report.
Patient: Severely ill neonate with congestive heart failure and high surgical risk.
Interventions: Standard therapy for chylous effusion with the addition of pressure control ventilation and positive end-expiratory pressure (high mean airway pressure).
Results: Rapid resolution of effusion with elimination of excessive fluid needs and correction of coagulation profile.
Conclusion: Increasing mean airway pressure by pressure control ventilation and positive end-expiratory pressure should be considered as a therapeutic intervention in patients with persistent chylous effusions.
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| http://dx.doi.org/10.1097/00003246-200004000-00050 | DOI Listing |
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