婴儿的延髓背侧综合征与神经调节通气辅助（NAVA）的应用
DORSAL BRAINSTEM SYNDROME AND THE USE OF NEURALLY ADJUSTED VENTILATORY ASSIST (NAVA) IN AN INFANT.
作者信息
Colleti José, Koga Walter, Carvalho Werther Brunow de
机构信息
Hospital Santa Catarina, São Paulo, SP, Brasil.
Universidade de São Paulo, São Paulo, SP, Brasil.
出版信息
Rev Paul Pediatr. 2017 Sep 21;36(1):4. doi: 10.1590/1984-0462/;2018;36;1;00003. Print 2018 Jan-Mar.
OBJECTIVE
To report a rare case of dorsal brainstem syndrome in an infant after hypoxic-ischemic episode due to severe sepsis and the use of neurally adjusted ventilatory assist (NAVA) to aid in diagnosis and in the removal of mechanical ventilation.
CASE DESCRIPTION
A 2-month-old male infant, previously healthy, presented with severe sepsis that evolved to dorsal brainstem syndrome, which usually occurs after hypoxic-ischemic injury in neonates and infants, and is related to very specific magnetic resonance images. Due to neurological lesions, thei nfant remained in mechanical ventilation. A NAVA module was installed to keep track of phrenic nerve conduction to the diaphragm, having successfully showed neural conduction and helped removing mechanical ventilation.
COMMENTS
Dorsal brainstem syndrome is a rare condition that should be considered after hypoxic-ischemic episode in infants.
目的
报告1例因严重脓毒症发生缺氧缺血事件后出现背侧脑干综合征的婴儿罕见病例，以及使用神经调节通气辅助（NAVA）辅助诊断和撤机的情况。
病例描述
一名2个月大的男婴，既往健康，因严重脓毒症发展为背侧脑干综合征，该综合征通常发生于新生儿和婴儿缺氧缺血性损伤后，且与非常特定的磁共振图像相关。由于神经病变，该婴儿持续接受机械通气。安装了NAVA模块以监测膈神经至膈肌的传导，成功显示了神经传导并帮助撤机。
评论
背侧脑干综合征是一种罕见疾病，婴儿缺氧缺血事件后应考虑该疾病。
Zotero 插件