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Niisato E, Hiramoto Y, Yamada H, Matsumiya N. Intrapulmonary percussive ventilation via Mini-Trach II in critical care: a case report. JA Clin Rep 2021; 7:60. [PMID: 34363131 PMCID: PMC8346612 DOI: 10.1186/s40981-021-00464-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/23/2021] [Revised: 07/22/2021] [Accepted: 07/23/2021] [Indexed: 11/30/2022] Open
Abstract
Background Intrapulmonary percussive ventilation (IPV) facilitates the mobilization and clearance of bronchial secretions. Cricothyroidotomy using a Mini-Trach II device is a minimally invasive method used for secretion clearance. To our knowledge, there are no previous reports regarding IPV combined with Mini-Trach II. Case presentation An 82-year-old man underwent controlled mechanical ventilation and IPV via an endotracheal tube to treat atelectasis following emergency surgical repair of a traumatic diaphragm laceration. He underwent cricothyroidotomy using Mini-Trach II for ensuring airway management after extubation. On resumption, IPV through a mouthpiece or face mask was unsuccessful owing to air leakage from his mouth. However, IPV via the already inserted Mini-Trach II could deliver the percussion flow and led to a marked improvement in his condition. Conclusion This experience indicates that Mini-Trach II is beneficial as a minimally invasive interface for IPV that can deliver percussion flow efficiently.
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Affiliation(s)
- Emina Niisato
- Department of Anesthesiology and Intensive Care Medicine, Ibaraki Prefectural Central Hospital, 6528 Koibuchi, Kasama, Ibaraki, 309-1703, Japan.
| | - Yoshiyuki Hiramoto
- Department of Anesthesiology, Urayasu Hospital, Juntendo University, 2-1-1 Tomioka, Urayasu, Chiba, 279-0021, Japan
| | - Hitoshi Yamada
- Department of Emergency and Intensive Care Medicine, Tsuchiura Kyodo General Hospital, 4-1-1 Otsuno, Tsuchiura, Ibaraki, 300-0028, Japan
| | - Naoki Matsumiya
- Department of Anesthesiology, Tsuchiura Kyodo General Hospital, 4-1-1, Otsuno, Tsuchiura, Ibaraki, 300-0028, Japan
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[Research advances in the treatment strategies for severe pertussis in children]. ZHONGGUO DANG DAI ER KE ZA ZHI = CHINESE JOURNAL OF CONTEMPORARY PEDIATRICS 2021; 23. [PMID: 33627217 PMCID: PMC7921532 DOI: 10.7499/j.issn.1008-8830.2010105] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
At present, effective antibiotics and comprehensive symptomatic/supportive treatment as early as possible are mainly used for the treatment of severe pertussis in clinical practice. However, some children with severe pertussis have unsatisfactory response to commonly used drugs and treatment measures in the intensive care unit and thus have a high risk of death. Studies have shown that certain treatment measures given in the early stage, such as exchange transfusion, may help reduce deaths, but there is still a lack of uniform implementation norms. How to determine the treatment regimen for severe pertussis and improve treatment ability remains a difficult issue in clinical practice. This article reviews the advances in the treatment of severe pertussis, in order to provide a reference for clinical treatment and research.
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吴 小, 李 丽, 姚 开, 许 红, 符 州. [Research advances in the treatment strategies for severe pertussis in children]. ZHONGGUO DANG DAI ER KE ZA ZHI = CHINESE JOURNAL OF CONTEMPORARY PEDIATRICS 2021; 23:192-197. [PMID: 33627217 PMCID: PMC7921532] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Subscribe] [Scholar Register] [Received: 10/21/2020] [Accepted: 12/04/2020] [Indexed: 08/08/2024]
Abstract
At present, effective antibiotics and comprehensive symptomatic/supportive treatment as early as possible are mainly used for the treatment of severe pertussis in clinical practice. However, some children with severe pertussis have unsatisfactory response to commonly used drugs and treatment measures in the intensive care unit and thus have a high risk of death. Studies have shown that certain treatment measures given in the early stage, such as exchange transfusion, may help reduce deaths, but there is still a lack of uniform implementation norms. How to determine the treatment regimen for severe pertussis and improve treatment ability remains a difficult issue in clinical practice. This article reviews the advances in the treatment of severe pertussis, in order to provide a reference for clinical treatment and research.
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Affiliation(s)
- 小英 吴
- 重庆医科大学附属儿童医院感染科, 重庆 400014Department of Infection, Children's Hospital of Chongqing Medical University, Chongqing 400014, China
| | - 丽君 李
- 广州市妇女儿童医疗中心呼吸科, 广东 广州 510623
| | - 开虎 姚
- 国家儿童医学中心/首都医科大学附属北京儿童医院/北京市儿科研究所微生物研究室/儿科学国家重点学科/教育部儿科重大疾病研究重点实验室, 北京 100045
| | - 红梅 许
- 重庆医科大学附属儿童医院感染科, 重庆 400014Department of Infection, Children's Hospital of Chongqing Medical University, Chongqing 400014, China
| | - 州 符
- 重庆医科大学附属儿童医院呼吸中心, 重庆 400014
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Natterer J, Rizzati F, Perez MH, Longchamp D, Amiet V, DeHalleux Q, Dao K, Ferry T. Suspected Case of Drug-Induced Acute Respiratory Distress Syndrome following Trimethoprim-Sulfamethoxazole Treatment. J Pediatr Intensive Care 2020; 11:67-71. [DOI: 10.1055/s-0040-1714707] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/23/2020] [Accepted: 06/11/2020] [Indexed: 10/23/2022] Open
Abstract
AbstractIn this article, we reported the case of a child patient who was admitted to our PICU for severe acute respiratory distress syndrome (ARDS) while being treated with trimethoprim-sulfamethoxazole (TMP-SMX) for osteomyelitis. Based on the timing of exposure, lack of alternative explanations, and clinical course similar to previously described cases, we suspect that TMP-SMX may have triggered ARDS. Despite meeting criteria for extracorporeal membrane oxygenation cannulation, conservative management and lung recruitment with high-frequency percussive ventilation could avoid the latter.
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Affiliation(s)
- Julia Natterer
- Pediatric Intensive Care Unit, Women, Mothers and Children's Department, Faculty of Medicine and Biology, Lausanne University Hospital, Lausanne, Switzerland
| | - Frida Rizzati
- Pediatric Intensive Care Unit, Women, Mothers and Children's Department, Faculty of Medicine and Biology, Lausanne University Hospital, Lausanne, Switzerland
| | - Marie-Hélène Perez
- Pediatric Intensive Care Unit, Women, Mothers and Children's Department, Faculty of Medicine and Biology, Lausanne University Hospital, Lausanne, Switzerland
| | - David Longchamp
- Pediatric Intensive Care Unit, Women, Mothers and Children's Department, Faculty of Medicine and Biology, Lausanne University Hospital, Lausanne, Switzerland
| | - Vivianne Amiet
- Pediatric Intensive Care Unit, Women, Mothers and Children's Department, Faculty of Medicine and Biology, Lausanne University Hospital, Lausanne, Switzerland
| | - Quentin DeHalleux
- Pediatric Physiotherapy Unit, Women, Mothers and Children's Department, Faculty of Medicine and Biology, Lausanne University Hospital, Lausanne, Switzerland
| | - Kim Dao
- Service of Clinical Pharmacology, Department of Laboratories Medicine and Pathology, Lausanne University Hospital, University of Lausanne, Lausanne, Switzerland
| | - Thomas Ferry
- Pediatric Intensive Care Unit, Women, Mothers and Children's Department, Faculty of Medicine and Biology, Lausanne University Hospital, Lausanne, Switzerland
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