Assessment of Rare Case on Patient with Filariasis-Associated Bilateral Pleural Effusion

@#Bilateral pleural effusion is fluid accumulation in both lungs of pleural spaces. The clinical manifestations of bilateral pleural effusion (chylothorax) caused by filariasis are so rare that they are often challenging to diagnose. This case study described a 21-year-old woman, domiciled in Sumatra, with complaints of shortness of breath and swollen legs. Radiological examination results found bilateral pleural effusion. Initially, it was suspected that the effusion was caused by tuberculosis, Systemic Lupus Erythematosus (SLE), and malignancy; however, treatments for these did not improve the patient’s condition. A Water Seal Drainage (WSD) was inserted and a chylous or chylothorax pleural effusion was obtained, and microfilaria was founded in the nocturnal blood examinations. Oxygen and nursing interventions were administered using lung expansion and postural drainage techniques, supported by education on effective coughing and deep breathing, along with the fulfillment of nutritional needs and dietary adjustments

Terapia Respiratoria para pacientes COVID-19 con enfermedad activa / Respiratory Therapy for COVID-19 patients with active disease

El drenaje postural implica una combinación de técnicas, que incluyen múltiples posiciones para drenar los pulmones, percusión, vibración, respiración profunda y tos. La fisioterapia de tórax, que incluye técnicas de drenaje postural y percusión, permite que la gravedad elimine la acumulación de moco en los pulmones en pacientes con COVID-19 con dificultad respiratoria. Estas técnicas también ayudan a abrir ambas vías respiratorias y a llevar más oxígeno a los sacos de aire y a mejorar la circulación a los pulmones.

Postural drainage involves a combination of techniques, including multiple positions to drain the lungs, percussion, vibration, deep breathing, and coughing. Chest physical therapy, including percussion and postural drainage techniques, allows gravity to remove mucus build-up in the lungs in COVID-19 patients with respiratory distress. These techniques also help open both airways and deliver more oxygen to the air sacs and improve circulation to the lungs.

Application of prone position in acute respiratory distress syndrome of pediatrics / 中华实用儿科临床杂志

Acute respiratory distress syndrome (ARDS) is a common critical disease in department of pediatrics.Mechanical ventilation is one of the effective means for the treatment of ARDS.In the past,in order to comfort and care for patients,the supine or semi supine position were used often.Recently,many studies have showed that prone position could change the respiratory mechanics and reduce intrathoracic pressure,avoiding lung injury caused by over stretch and hyperinflation,which is significant in improving ARDS gas exchange.

Critically patient and position / 中国小儿急救医学

There is great role of position treta ment in critically paediatric patient.It can not only alleviate the ol cal skin contracture opprse sion,muscle joints,but can cause the redistribution of body fluids. Even changing body position plays a crucial role in a number of specific diseases and treatment modalities. Intensive care unit common position includes seated,semi-seated,supine,semi-supine,left lateral, right lateral op sition na d prone position,anti-trendelenburg position,continuous lateral rotation therapy.The following is a brief introduction to the application of various body positions in the intensive care unit.

Effect of postural drainage assisting trachea suction on meconium aspiration syndrome / 中国小儿急救医学

Objective To evaluate the effect of postural drainage assisting trachea suction on meconium aspiration syndrome. Methods Total 61 cases of asphyxia neonates with MAS who were born in our hospital from Jan,2007 to Dec,2008, were divided into control group (24 cases) and observing group( 37 cases). The neonates in control group had endotracheal suction directly after intubation. But the infant in observing group was treated with endotracheal suction after postural drainage. The amount of suction from endotracheal tube,the complication of MAS and the outcome of these newborns were evaluated. Results The total amount of meconium drainage from endotrachea in observing group was statistics significantly more than that in control group [( 2. 16 ± 1.82) ml vs ( 1.23 ± 0. 97 ) ml, P ＜ 0. 05 )]; The intubating times in observing group were statistical significantly less than that in control group[( 1.19 ± 0. 46) vs ( 1.79 ± 0. 83 ) times, P ＜0. 01 ). The incidence of complication in observing group was 8. 11% ,which was significantly lower than that in control group(29. 17% ,P ＜0. 05). There were shorter needing oxygen time [(21.30 ± 22. 38) h vs (52. 91 ±39. 20) h,P ＜0. 01]and shorter hospitalization days [(9. 24 ±3.94) d vs ( 14. 39 ±6. 49) d,P ＜0.01 )]in observing group than those in control group respectively. The mortality in control group was 4. 17%, and no death occurred in observing group. Apgar scores of the first minute was similar in both groups ( P ＞ 0. 05 ). But there was significant difference(70. 16% vs 58. 34% ,respectively;P ＜0. 05) in the fifth minute Apgar scoring of 8 ～ 10 scores between the observing group and the control group. Conclusion Postural drainage assisting endotracheal suction may remove meconium in trachea effectively, decrease the complications of MAS and shorten the oxygen days and hospitalization time.