Successful management of severe respiratory failure combining heliox with noninvasive high-frequency percussive ventilation
Détails
ID Serval
serval:BIB_AE22E404CFBC
Type
Article: article d'un périodique ou d'un magazine.
Sous-type
Etude de cas (case report): rapporte une observation et la commente brièvement.
Collection
Publications
Institution
Titre
Successful management of severe respiratory failure combining heliox with noninvasive high-frequency percussive ventilation
Périodique
Critical Care Medicine
ISSN
0090-3493 (Print)
Statut éditorial
Publié
Date de publication
03/2002
Volume
30
Numéro
3
Pages
692-4
Notes
Case Reports
Journal Article --- Old month value: Mar
Journal Article --- Old month value: Mar
Résumé
Heliox has been shown to be beneficial in the management of different obstructive pulmonary disorders. High-frequency percussive ventilation has recently been advocated to treat lung injury in children with reduced lung compliance. We report our experience of combining heliox with noninvasive high-frequency percussive ventilation in a 5-yr-old boy with severe acute respiratory failure resulting from advanced cystic fibrosis lung disease. The dramatic improvement allowed stabilization and withholding of endotracheal intubation. We hypothesize that this approach improved gas exchange by enhancing molecular diffusion and by favoring laminar flow throughout the upper and lower airways. Further investigations should study the mechanisms of this noninvasive bimodal therapy.
Mots-clé
Child, Preschool
Combined Modality Therapy
Cystic Fibrosis/*complications
Helium/*therapeutic use
High-Frequency Ventilation/*methods
Humans
Intermittent Positive-Pressure Ventilation
Male
Masks
Oxygen/*therapeutic use
Respiratory Insufficiency/etiology/*therapy
Pubmed
Web of science
Création de la notice
24/01/2008 17:46
Dernière modification de la notice
20/08/2019 16:17