Use of ventilation bag for the respiratory support during magnetic resonance imaging in Arnold-Chiari ventilated patients, a case report
| Autor: | Rosaria Stabile, Francesco Piccione, Cristiano Zanetti, Carla Carollo, Claudia Enrichi, Luca Ghezzo |
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| Rok vydání: | 2018 |
| Předmět: |
Male
medicine.medical_specialty Context (language use) Case Reports 03 medical and health sciences 0302 clinical medicine Neuroimaging medicine Humans Spinal Cord Injuries medicine.diagnostic_test business.industry Magnetic resonance imaging Spinal cord Magnetic Resonance Imaging Respiration Artificial Respiratory support Arnold-Chiari Malformation medicine.anatomical_structure 030228 respiratory system Breathing Neurology (clinical) Radiology Arnold chiari business 030217 neurology & neurosurgery |
| Zdroj: | J Spinal Cord Med |
| ISSN: | 2045-7723 1079-0268 |
| Popis: | Context: Magnetic Resonance Imaging (MRI) is an essential diagnostic tool for neuroimaging tissues such as the spinal cord. Unfortunately, the use of MRI may be limited in ventilated patients, who cannot maintain the supine position in spontaneous breathing for the whole duration of the exam (i.e. neuro-muscular patients with diaphragm involvement). The use of MRI-compatible ventilator during MRI could be a solution but they are not universally available. Furthermore, their performances are not up to those of the conventional ones and they are not always compatible with Non Invasive Ventilation (NIV). Findings: This case report describes an easy and low-cost solution to ventilate a patient non-invasively during the MRI procedure. The patient in this case was a 45-yr-old man, wheelchair-dependent and chronically ventilated in NIV with a forced vital capacity in supine position of 370 ml (10% of predicted normal), affected by Arnold-Chiari Syndrome, and in need of a MRI diagnostic control. Conclusion: The technique proposed, that does not affect the MRI images quality, consists in ventilating the patient using a simple nonmetallic Ventilation Bag, operated by a Respiratory Therapist. This has been proven a useful and economical solution for ventilatory support during MRI for a respiratory-dependent patient with Arnold-Chiari Syndrome. |
| Databáze: | OpenAIRE |
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