Back to Search
Start Over
Management of an infant with epidermolysis bullosa on invasive mechanical ventilation
- Source :
- Revista Paulista de Pediatria, Vol 40 (2021), Revista Paulista de Pediatria
- Publication Year :
- 2022
- Publisher :
- FapUNIFESP (SciELO), 2022.
-
Abstract
- 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.
- Subjects :
- 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
Subjects
Details
- ISSN :
- 19840462 and 01030582
- Volume :
- 40
- Database :
- OpenAIRE
- Journal :
- Revista Paulista de Pediatria
- Accession number :
- edsair.doi.dedup.....045311eb642549a67496a493b8ae1684