Document Detail


Heliox as the rescue therapy for a neonate with congenital tracheal stenosis, pulmonary artery sling, and intracardiac anomalies.
MedLine Citation:
PMID:  19067278     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Congenital tracheal stenosis (CTS) is a rare disease associated with high mortality and morbidity, especially if it is associated with intracardiac anomalies or vascular rings. Heliox, a "carrier gas" with low density, has been used in pediatric intensive care units for treating acute respiratory failure due to obstructive airway disease. Here we report a 3100-g, 39-week newborn with long-segment CTS complicated with a pulmonary artery sling and tetralogy of Fallot, to whom heliox was given as the rescue therapy during near-complete airway obstruction and cardiopulmonary failure. Although this patient finally died from failure of corrective surgery, our experience with heliox has suggested that its effects in improving oxygenation and eliminating CO (2) can be a rescue strategy in a mechanically ventilated infant with severe airway obstruction.
Authors:
Ming-Horng Tsai; Kin-Sun Wong; Reyin Lien; Hsuan-Rong Huang; Sui-Ling Liao; Jen-Fu Hsu
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-12-09
Journal Detail:
Title:  American journal of perinatology     Volume:  26     ISSN:  1098-8785     ISO Abbreviation:  Am J Perinatol     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-05-29     Completed Date:  2009-09-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8405212     Medline TA:  Am J Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  357-60     Citation Subset:  IM    
Affiliation:
Division of Pediatric Neonatology, Department of Pediatrics, Chang Gung Memorial Hospital, Taoyuan, Taiwan.
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MeSH Terms
Descriptor/Qualifier:
Abnormalities, Multiple / diagnosis,  drug therapy*,  surgery
Angiography
Fatal Outcome
Female
Heart Defects, Congenital / diagnosis,  drug therapy*,  surgery
Helium / therapeutic use*
Humans
Infant, Newborn
Oxygen / therapeutic use*
Pulmonary Artery / abnormalities*,  surgery
Respiration, Artificial / methods
Tracheal Stenosis / congenital*,  diagnosis,  drug therapy*,  surgery
Chemical
Reg. No./Substance:
58933-55-4/heliox; 7440-59-7/Helium; 7782-44-7/Oxygen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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