Insufflation-exsufflation devices in post-operative respiratory failure: Case report
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- 作者：Á ; ngel Becerra-Bolañ ; os ; angbecbol@gmail.com ; Nazario Ojeda-Betancor ; Lucí ; a Valencia ; Aurelio Rodrí ; guez-Pé ; rez
- 关键词：Respiratory insufficiency ; Respiratory therapy ; Noninvasive ventilation ; Neuromuscular diseases ; Postoperative complications
- 刊名：Colombian Journal of Anesthesiology
- 出版年：2017
- 出版时间：January 2017
- 年：2017
- 卷：45
- 期：supp_S1
- 页码：40-44
- 全文大小：1079 K
- 卷排序：45
文摘
Patients suffering from a neuromuscular disease have a greater likelihood of postoperative respiratory failure. Sometimes, this complication does not respond to non-invasive mechanical ventilation.Case reportPerioperative management of a patient with Werdnig–Hoffmann disease who underwent bilateral coronoidectomy due to trismus. The postoperative period was hampered by the patient's poor respiratory mechanics, inducing the appearance of atelectasis. Despite the application of preventive non-invasive mechanical ventilation, the patient suffered respiratory failure and required endotracheal intubation. Finally, the respiratory weaning was achieved after the application of insufflation–exsufflation devices associated with non-invasive mechanical ventilation.ConclusionThe application of insufflations–exsufflation devices in the immediate post-operative period of patients with neuromuscular diseases promotes the proper respiratory evolution of a patient considered impossible to extubate.