The use of high-frequency jet ventilation for removal of obstructing casts in patients with plastic bronchitis
| Autor: | Peter Skrak, Martin Zahorec, Pavol Kunovsky, Peter Martanovic, Lubica Kovacikova |
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| Rok vydání: | 2009 |
| Předmět: |
Male
medicine.medical_specialty Adolescent Plastic bronchitis Fontan Procedure Critical Care and Intensive Care Medicine law.invention High-Frequency Jet Ventilation High frequency jet ventilation Bronchoscopy law Intensive care Humans Medicine In patient Bronchitis medicine.diagnostic_test business.industry Airway obstruction medicine.disease Intensive care unit Surgery Airway Obstruction Child Preschool Pediatrics Perinatology and Child Health Coronary care unit Female business |
| Zdroj: | Pediatric Critical Care Medicine. 10:e34-e36 |
| ISSN: | 1529-7535 |
| Popis: | OBJECTIVE To describe improved cast removal with short periods of high-frequency jet ventilation (HFJV) in patients with single ventricle physiology. DESIGN Case report. SETTING Pediatric cardiac intensive care unit. PATIENTS Two patients with plastic bronchitis during prolonged stay in a intensive care unit after a Fontan-type operation. INTERVENTIONS Short periods of HFJV. MAIN RESULTS Plastic bronchitis with lower airway obstruction developed in two intubated patients during intensive care stay after the Fontan operation. Mucolytics and suctioning were not effective in controlling symptoms. Urgent bronchoscopy was considered a high-risk procedure for the first patient and was not available for the second. Cast removal was achieved with short periods of HFJV and subsequent suctioning. CONCLUSIONS The use of short-term HFJV resulted in resolution of the airway obstruction in intubated patients with plastic bronchitis. |
| Databáze: | OpenAIRE |
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