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British Journal of Anaesthesia, 2003, Vol. 90, No. 3 385-387
© 2003 The Board of Management and Trustees of the British Journal of Anaesthesia

Case Reports

Ventilation by the Open Lung Concept in spite of traumatic lung herniation

D. Schreiter*,1, A. Reske1, C. Glien1, L. Scheibner1 and C. Josten2

1 Surgical Intensive Care Unit, and 2 Division of Traumatology, Department of Surgery, University of Leipzig, Liebigstrasse 20a, D-04103 Leipzig, Germany

Corresponding author. E-mail: dschr@medizin.uni-leipzig.de

Traumatic herniation of the lung is uncommon. We report a patient suffering from multiple injuries including severe pulmonary contusion and traumatic parasternal lung herniation, who developed acute respiratory distress syndrome. In spite of the lung herniation, we used mechanical ventilation according to the Open Lung Concept. Oxygenation improved rapidly, and early operative stabilization was possible.

Br J Anaesth 2003; 90: 385–7


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