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.

引用

页数：5

共 22 条

[21] Perceptions of methicillin-resistant Staphylococcus aureus and hand hygiene provider training and patient education: Results of a mixed method study of health care providers in Department of Veterans Affairs spinal cord injury and disorder units
Hill, Jennifer N.
Hogan, Timothy P.
Cameron, Kenzie A.
Guihan, Marylou
Goldstein, Barry
Evans, Martin E.
Evans, Charlesnika T.
AMERICAN JOURNAL OF INFECTION CONTROL, 2014, 42 (08) : 834 - 840
[22] The use of a new intra-pulmonary percussive ventilation (IPPV) device to aid lung volume recruitment (LVR) and secretion clearance in a patient with C1 spinal cord injury (SCI)
Campbell, Liam
Armstrong, Alison
EUROPEAN RESPIRATORY JOURNAL, 2016, 48

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