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Intermediate Technical IVT

barotrauma

Pronunciation: BARE-oh-traw-mah

Lung injury caused by excessive pressure during mechanical ventilation, potentially leading to pneumothorax or air leak syndromes.

Full Definition

Ventilator-induced lung injury resulting from excessive airway pressures that cause alveolar overdistension and rupture. In pediatric patients, barotrauma risk is heightened due to smaller lung volumes and compliant chest walls. Clinical manifestations include pneumothorax, pneumomediastinum, subcutaneous emphysema, and air embolism. Prevention strategies focus on lung-protective ventilation with appropriate pressure limits and tidal volumes.

In Context

  • "Peak inspiratory pressures were reduced to minimize the risk of barotrauma in this premature infant." — Ventilator management note
  • "The sudden deterioration raised concern for barotrauma, prompting immediate chest imaging." — Clinical assessment

Also known as

pressure-induced lung injury ventilator-induced pneumothorax

Contrasted with

lung protection gentle ventilation

Don't confuse with

volutrauma biotrauma

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