Management of an infant with epidermolysis bullosa on invasive mechanical ventilation
| Autor: | Fernandes, Fabiola, Pinheiro, Luanda Bruno, Nascimento, Milena Siciliano, do Prado, Cristiane |
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| Rok vydání: | 2022 |
| Předmět: |
Ventilação mecânica
medicine.medical_specialty medicine.medical_treatment Case Report Atelectasis Disease Pediatrics RJ1-570 Epidermólise bolhosa Intensive care Physical therapy specialty medicine Epidermolysis bullosa Intensive care medicine Contraindication Fisioterapia Mechanical ventilation Pediatria Adult patients business.industry medicine.disease Pediatric patient Pediatrics Perinatology and Child Health Respiration artificial business |
| Zdroj: | Revista Paulista de Pediatria, Vol 40 (2021) Revista Paulista de Pediatria |
| ISSN: | 1984-0462 0103-0582 |
| DOI: | 10.1590/1984-0462/2022/40/2020290 |
| Popis: | Objective: To describe, for the first time in the pediatric population, the use of an effective technique to mobilize secretion in a patient whose disease imposes many care limitations. Case description: 2-year-old infant with Epidermolysis Bullosa, dependent on mechanical ventilation after cardiorespiratory arrest. Infant evolved with atelectasis in the right upper lobe with restriction to all manual secretion mobilization techniques due to the risk of worsening skin lesions. We opted for tracheal aspiration in a closed system combined with expiratory pause, a technique only described in adult patients so far. Comments: This case report is the first to use this technique in a pediatric patient. The use of expiratory pause combined with tracheal aspiration not only optimized the mobilization of secretion, but it was also a safe tool for reversing atelectasis. Our case report brings an important result because it increases the possibilities of managing pediatric patients admitted to intensive care units, especially in situations of absolute contraindication for chest maneuvers. |
| Databáze: | OpenAIRE |
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