Document Detail


Avoidance of reintubation by using sedation during noninvasive positive pressure ventilation in a 3-month-old infant with postoperative respiratory failure.
MedLine Citation:
PMID:  20558935     Owner:  NLM     Status:  In-Process    
Abstract/OtherAbstract:
Maintaining alertness during noninvasive positive pressure ventilation (NPPV) is important, but there are no established guidelines for the use of sedation. We report our first experience of an infant with post-surgical vocal cord paralysis, severe stridor and breathing difficulties, who was reintubated after NPPV treatment without sedation, but who avoided a third reintubation through the use of sedation with the second NPPV treatment. NPPV treatment with the proper sedation can improve blood gas data in those patients with severe dyspnea, which can occur during respiratory care in several situations, and can affect not only infants, but also adults including elderly patients.
Authors:
Kizuku Watanabe; Kazuo Chin; Kenichi Takahashi; Masaya Murata; Hiraku Doi; Tomohiro Handa; Toru Oga; Tomomasa Tsuboi; Tadashi Ikeda; Tatsutoshi Nakahata; Ryuzo Sakata; Michiaki Mishima
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-06-15
Journal Detail:
Title:  Internal medicine (Tokyo, Japan)     Volume:  49     ISSN:  1349-7235     ISO Abbreviation:  Intern. Med.     Publication Date:  2010  
Date Detail:
Created Date:  2010-06-18     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9204241     Medline TA:  Intern Med     Country:  Japan    
Other Details:
Languages:  eng     Pagination:  1159-62     Citation Subset:  IM    
Affiliation:
Department of Respiratory Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
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