Liberatore Pio, Maffei Gianfranco
Neonatal Intensive Care Unit, Policlinico Riuniti, Foggia, Italy.
AJP Rep. 2020 Jul;10(3):e253-e254. doi: 10.1055/s-0040-1715179. Epub 2020 Aug 27.
The authors describe a case of acute respiratory failure due to severe bronchiolitis. During high-flow nasal cannula ventilation, the blood's high levels of hypercapnia had taken them to plan the sedation and the orotracheal intubation. However, before attempting intubation, a nasal high frequency oscillatory ventilation cycle was performed and it led to a marked improvement in the blood gas, avoiding in this way the invasive ventilation.
作者描述了一例因严重细支气管炎导致的急性呼吸衰竭病例。在高流量鼻导管通气期间,血液中高碳酸血症水平促使他们计划进行镇静和经口气管插管。然而,在尝试插管之前,进行了一个鼻高频振荡通气周期,这使得血气有了显著改善,从而避免了有创通气。