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Successful High Flow Nasal Oxygen Therapy for Excessive Dynamic Airway Collapse: A Case Report / 결핵및호흡기질환
Tuberculosis and Respiratory Diseases ; : 455-458, 2015.
Artículo en Inglés | WPRIM | ID: wpr-149061
ABSTRACT
Excessive dynamic airway collapse (EDAC) is a disease entity of excessive reduction of the central airway diameter during exhalation, without cartilage collapse. An 80-year-old female presented with generalized edema and dyspnea at our hospital. The patient was in a state of acute decompensated heart failure due to pneumonia with respiratory failure. We accordingly managed the patient with renal replacement therapy, mechanical ventilation and antibiotics. Bronchoscopy confirmed the diagnosis of EDAC. We scheduled extubation after the improvement of pneumonia and heart condition. However, extubation failure occurred due to hypercapnic respiratory failure with poor expectoration. Her EDAC was improved in response to high flow nasal oxygen therapy (HFNOT). Subsequently, the patient was stabilized and transferred to the general ward. HFNOT, which generates physiologic positive end expiratory pressure (PEEP) effects, could be an alternative and effective management of EDAC. Further research and clinical trials are needed to demonstrate the therapeutic effect of HFNOT on EDAC.
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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Oxígeno / Terapia por Inhalación de Oxígeno / Neumonía / Respiración Artificial / Insuficiencia Respiratoria / Habitaciones de Pacientes / Broncoscopía / Cartílago / Respiración con Presión Positiva / Terapia de Reemplazo Renal Tipo de estudio: Estudio diagnóstico Límite: Anciano / Aged80 / Femenino / Humanos Idioma: Inglés Revista: Tuberculosis and Respiratory Diseases Año: 2015 Tipo del documento: Artículo

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Texto completo: Disponible Índice: WPRIM (Pacífico Occidental) Asunto principal: Oxígeno / Terapia por Inhalación de Oxígeno / Neumonía / Respiración Artificial / Insuficiencia Respiratoria / Habitaciones de Pacientes / Broncoscopía / Cartílago / Respiración con Presión Positiva / Terapia de Reemplazo Renal Tipo de estudio: Estudio diagnóstico Límite: Anciano / Aged80 / Femenino / Humanos Idioma: Inglés Revista: Tuberculosis and Respiratory Diseases Año: 2015 Tipo del documento: Artículo