Good Bronchial Hygiene Reaches the Left Lung: Successful Extubation in a Tetraplegic Patient With Spinal Cord Injury

被引：0
|
作者：
Pascoal, Adriana [1 ]
Lourenco, Carolina [1 ]
Pires, Cesar [1 ]
Paiva, Antonio [1 ]
Vaz, Ines M. [2 ]
机构：
[1] Ctr Med Reabilitacao Regido Ctr Rovisco Pais, Phys Med & Rehabil, Tocha, Portugal
[2] Ctr Hosp Vila Real, Phys Med & Rehabil, Vila Real, Portugal
来源：
CUREUS JOURNAL OF MEDICAL SCIENCE | 2022年 / 14卷 / 09期
关键词：
mechanical insufflation-exsufflation; cough; bronchial hygiene; respiratory complications; spinal cord injury; MECHANICAL INSUFFLATION;
D O I：
10.7759/cureus.28732
中图分类号：
R5 [内科学];
学科分类号：
1002 ; 100201 ;
摘要：
Ineffective coughing affects bronchial hygiene and is a major contributor to respiratory complications after spinal cord injury (SCI). Mechanical insufflation-exsufflation (MIE) therapy increases inspiratory and expiratory flow to assist bronchial secretions clearance.We present a case of a 67-year-old cervical SCI patient with lung infection and partial atelectasis in the lower left lung, associated with difficult ventilator weaning. About one day after the beginning of MIE therapy, an improvement of the atelectasis was verified. The patient was extubated six days after the beginning of bronchial hygiene with MIE therapy and safely transitioned to non-invasive ventilatory support.
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页数：5
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