Neurally adjusted ventilatory assist and lung transplant in a child: A case report.
Pediatr Crit Care Med
; 11(5): e48-51, 2010 Sep.
Article
en En
| MEDLINE
| ID: mdl-20407397
ABSTRACT
OBJECTIVE:
To report the successful application of neurally adjusted ventilatory assist to a child with cystic fibrosis who underwent single-lung transplantation.DESIGN:
Case report.SETTING:
Pediatric cardiac intensive care unit. PATIENT A 15-yr-old male with cystic fibrosis was admitted to our pediatric cardiac intensive care unit after single-lung transplantation. The child had previously received two bowel resections at the age of 1 yr, right pneumonectomy at the age of 3 yrs, and endoscopic percutaneus gastrostomy at the age of 10 yrs. After transplant, the child failed several attempts of weaning off mechanical ventilation with pressure-support ventilation, due to infection, pneumothorax, and ventilator asynchrony that caused gastric distension and numerous episodes of nausea and vomiting. INTERVENTION Use of neurally adjusted ventilatory assist to avoid patient-ventilator dyssynchrony and consequent gastric distension.CONCLUSIONS:
The utilization of neurally adjusted ventilatory assist allowed to limit the risk of overassistance and prevent patient-ventilator asynchrony and to successfully wean the child off mechanical ventilation after single-lung transplant.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Respiración Artificial
/
Trasplante de Pulmón
/
Fibrosis Quística
Límite:
Adolescent
/
Humans
/
Male
Idioma:
En
Año:
2010
Tipo del documento:
Article