Mortality and morbidity related to severe intrapulmonary shunting in multiple trauma patients.

摘要: Of 210 multiple trauma patients admitted to our Intensive Care Unit (ICU), 12 (5%) presented with severe hypoxemic respiratory failure needing mechanical ventilation an FIO2 of 1.0 because intrapulmonary shunting (IS). Five (42%) these survived and two (17%) died their underlying failure. We found a mean three etiologic factors in each patient account for IS. Nonsurvivors had lower cardiac index than survivors when they first needed ARDS was more frequent among this group. All who were the 5 days post-trauma; all later post-trauma died. Data collected similar degree coronary care ICU (n = 18), medical 19), surgical 21) demonstrated that younger hospitalized ventilated longer periods time. In patients, as cardiogenic pulmonary edema, death seldom related itself. concluded is usually mixed etiologies. It serious cause morbidity patients; however, mortality directly condition. Severe IS occurring shortly after better prognosis late