Management of an infant with epidermolysis bullosa on invasive mechanical ventilation
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..
| Medienart: |
E-Artikel |
|---|
| Erscheinungsjahr: |
2021 |
|---|---|
| Erschienen: |
2021 |
| Enthalten in: |
Zur Gesamtaufnahme - volume:40 |
|---|---|
| Enthalten in: |
Revista Paulista de Pediatria - 40(2021) |
| Sprache: |
Englisch ; Spanisch ; Portugiesisch |
|---|
| Beteiligte Personen: |
Fabiola Fernandes Junior [VerfasserIn] |
|---|
| Links: |
doi.org [kostenfrei] |
|---|
| Themen: |
Epidermolysis bullosa |
|---|
| doi: |
10.1590/1984-0462/2022/40/2020290 |
|---|
| funding: |
|
|---|---|
| Förderinstitution / Projekttitel: |
|
| PPN (Katalog-ID): |
DOAJ023665432 |
|---|
| LEADER | 01000caa a22002652 4500 | ||
|---|---|---|---|
| 001 | DOAJ023665432 | ||
| 003 | DE-627 | ||
| 005 | 20230307065824.0 | ||
| 007 | cr uuu---uuuuu | ||
| 008 | 230226s2021 xx |||||o 00| ||eng c | ||
| 024 | 7 | |a 10.1590/1984-0462/2022/40/2020290 |2 doi | |
| 035 | |a (DE-627)DOAJ023665432 | ||
| 035 | |a (DE-599)DOAJ7b1aeaf4b923477d9b5f6d9aee346e9f | ||
| 040 | |a DE-627 |b ger |c DE-627 |e rakwb | ||
| 041 | |a eng |a spa |a por | ||
| 050 | 0 | |a RJ1-570 | |
| 100 | 0 | |a Fabiola Fernandes Junior |e verfasserin |4 aut | |
| 245 | 1 | 0 | |a Management of an infant with epidermolysis bullosa on invasive mechanical ventilation |
| 264 | 1 | |c 2021 | |
| 336 | |a Text |b txt |2 rdacontent | ||
| 337 | |a Computermedien |b c |2 rdamedia | ||
| 338 | |a Online-Ressource |b cr |2 rdacarrier | ||
| 520 | |a 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. | ||
| 650 | 4 | |a Respiration, artificial | |
| 650 | 4 | |a Pediatrics | |
| 650 | 4 | |a Epidermolysis bullosa | |
| 650 | 4 | |a Physical therapy specialty | |
| 700 | 0 | |a Luanda Bruno Pinheiro |e verfasserin |4 aut | |
| 700 | 0 | |a Milena Siciliano Nascimento |e verfasserin |4 aut | |
| 700 | 0 | |a Cristiane do Prado |e verfasserin |4 aut | |
| 773 | 0 | 8 | |i In |t Revista Paulista de Pediatria |d Sociedade de Pediatria de São Paulo, 2008 |g 40(2021) |w (DE-627)DOAJ00006212X |x 19840462 |7 nnns |
| 773 | 1 | 8 | |g volume:40 |g year:2021 |
| 856 | 4 | 0 | |u https://doi.org/10.1590/1984-0462/2022/40/2020290 |z kostenfrei |
| 856 | 4 | 0 | |u https://doaj.org/article/7b1aeaf4b923477d9b5f6d9aee346e9f |z kostenfrei |
| 856 | 4 | 0 | |u http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822022000100603&tlng=en |z kostenfrei |
| 856 | 4 | 0 | |u http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0103-05822022000100603&tlng=pt |z kostenfrei |
| 856 | 4 | 2 | |u https://doaj.org/toc/1984-0462 |y Journal toc |z kostenfrei |
| 912 | |a GBV_USEFLAG_A | ||
| 912 | |a GBV_DOAJ | ||
| 951 | |a AR | ||
| 952 | |d 40 |j 2021 | ||