Chylothorax: A novel therapy

Abstract

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.