case_images: PMC10364471_01
case_images: (A) Initial presentation chest x-ray. (B) Pre-intubation x-ray with complicated pneumomediastinum. (C) Post intubation and post-peripheral VA-ECMO cannulation.
case_images: fped-11-1189722-g001.jpg
case_images: PMC10364471_01_fped-11-1189722-g001.jpg
case_images: F1
case_images: Initial chest radiographs demonstrated bilateral hyperinflation, no consolidation, and no radio-opaque FB (Figure 1A). After a period of relative stability with reduction in the work of breathing, a normalization of arterial CO2 levels, and minimal oxygen requirement, he deteriorated on day 3 of his admission with development of a pneumomediastinum (Figure 1B) and an acute rise in arterial CO2. He was intubated then cannulated to peripheral VA-ECMO through the right common carotid artery and the right internal jugular vein, due to inadequate oxygenation and ventilation on conventional mechanical ventilation (Figure 1C).
case_images: Pediatric intensive care unit timeline.
case_images: fped-11-1189722-g002.jpg
case_images: PMC10364471_01_fped-11-1189722-g002.jpg
case_images: F2
case_images: Clinically he is well and regaining previously attained motor milestones (Figure 2).