| Autor: |
Hertzog JH; Department of Pediatrics, Georgetown University Medical Center, Washington, DC 20007-2197, USA. hertzogj@gunet.georgetown.edu, Siegel LB, Hauser GJ, Dalton HJ |
| Jazyk: |
angličtina |
| Zdroj: |
Chest [Chest] 1999 Jul; Vol. 116 (1), pp. 260-3. |
| DOI: |
10.1378/chest.116.1.260 |
| Abstrakt: |
Tracheal extubation after laryngotracheal reconstruction in children may be complicated by postoperative tracheal edema and pulmonary dysfunction. The replacement of a tracheal tube in this situation may exacerbate the existing injury to the tracheal mucosa, complicating subsequent attempts at tracheal extubation. We present two cases where noninvasive positive-pressure ventilation was employed to treat partial airway obstruction and respiratory failure in two children following laryngotracheal reconstruction. Noninvasive positive-pressure ventilation served as a bridge between mechanical ventilation via a tracheal tube and spontaneous breathing, providing airway stenting and ventilatory support while tracheal edema and pulmonary dysfunction were resolved. Under appropriate conditions, noninvasive positive-pressure ventilation may be useful in the management of these patients. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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