case_images: PMC3035030_01
case_images: Chest X-ray of case 1.
case_images: 1824-7288-37-5-1.jpg
case_images: PMC3035030_01_1824-7288-37-5-1.jpg
case_images: F1
case_images: On admission the patient presented severe acute respiratory distress syndrome (ARDS) for which he required high MV parameters (Figure 1).
case_images: PMC3035030_02
case_images: Chest X-ray of case 2.
case_images: 1824-7288-37-5-2.jpg
case_images: PMC3035030_02_1824-7288-37-5-2.jpg
case_images: F2
case_images: He presented severe ARDS and hypoxemia and required high MV parameters remaining ventilated for 51 days (Figure 2).
case_images: Chest X-ray of case 3.
case_images: 1824-7288-37-5-3.jpg
case_images: PMC3035030_02_1824-7288-37-5-3.jpg
case_images: F3
case_images: During her prolonged stay in PICU (111 days) she required MV due to ARDS with severe hypoxemia (Figure 3).
case_images: 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
case_images: 1824-7288-37-5-4.jpg
case_images: PMC3035030_02_1824-7288-37-5-4.jpg
case_images: F4
case_images: 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).