Respiratory support in the absence of abdominal muscles: A case study of ventilatory management in prune belly syndrome.

Autor: Apostel HJCL; Departement of Anesthesiology and Pain Management, Maastricht Universitair Medisch Centrm, P. Debyelaan 25, 6229 HX Maastricht, The Netherlands. Electronic address: heleen.apostel@gmail.com., Duval ELIM; Departement of Critical Care, Universitair Ziekenhuis Antwerpen, Wilrijkstraat 10, 2650 Edegem, Belgium., De Dooy J; Departement of Critical Care, Universitair Ziekenhuis Antwerpen, Wilrijkstraat 10, 2650 Edegem, Belgium., Jorens PG; Departement of Critical Care, Universitair Ziekenhuis Antwerpen, Wilrijkstraat 10, 2650 Edegem, Belgium., Schepens T; Departement of Critical Care, Universitair Ziekenhuis Antwerpen, Wilrijkstraat 10, 2650 Edegem, Belgium.
Jazyk: angličtina
Zdroj: Paediatric respiratory reviews [Paediatr Respir Rev] 2021 Mar; Vol. 37, pp. 44-47. Date of Electronic Publication: 2020 Jul 25.
DOI: 10.1016/j.prrv.2020.07.002
Abstrakt: Prune belly syndrome (PBS) results in a total lack of abdominal musculature. Abdominal muscles have an important function during inspiration and expiration. This puts the patient at risk for respiratory complications since they have a very limited ability to cough up secretions. Patients in an intensive care unit (ICU) with PBS who receive mechanical ventilation are at even greater risk for respiratory complications. We review the function of the abdominal muscles in breathing and delineate why they are important in the ICU. We include an illustrative case of a long-term ventilated patient with PBS and offer respiratory management options.
(Copyright © 2020 The Authors. Published by Elsevier Ltd.. All rights reserved.)
Databáze: MEDLINE
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