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Article ; Online: Tracheal opening manoeuvre (PEEP-20) in a patient with bronchopulmonary dysplasia and severe tracheobronchomalacia with neurally adjusted ventilatory assist (NAVA).

Olguin Ciancio, Maite / Cambra, Francisco José / Pons-Odena, Martí

BMJ case reports

2020  Volume 13, Issue 1

Abstract: Bronchopulmonary dysplasia (BPD) is occasionally associated with tracheobronchomalacia, and it is this combination that can lead to serious outcomes. The most severe cases require tracheostomies, ventilatory support and eventually even tracheal stents or ...

Abstract Bronchopulmonary dysplasia (BPD) is occasionally associated with tracheobronchomalacia, and it is this combination that can lead to serious outcomes. The most severe cases require tracheostomies, ventilatory support and eventually even tracheal stents or surgery. Ventilation in patients with tracheomalacia is complicated without a good patient-ventilator synchrony; the neurally adjusted ventilatory assist (NAVA) mode is potentially beneficial in these cases. This case report presents a patient affected by BPD and severe tracheobronchomalacia who was tracheostomised and ventilated 24 hours a day and who suffered from episodes of airway collapse despite using the NAVA mode. It was necessary to increase the positive end-expiratory pressure to 20 cmH
MeSH term(s) Bronchopulmonary Dysplasia/therapy ; Humans ; Infant ; Positive-Pressure Respiration ; Tracheobronchomalacia/therapy ; Tracheostomy ; Ventilator Weaning
Language English
Publishing date 2020-01-21
Publishing country England
Document type Case Reports ; Journal Article
ISSN 1757-790X
ISSN (online) 1757-790X
DOI 10.1136/bcr-2019-229471
Database MEDical Literature Analysis and Retrieval System OnLINE

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