Department of Pediatrics, Pediatric Intensive Care Unit, Hadassah Medical Center Mount Scopus and Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
Department of Pediatrics, Pediatric Pulmonology Unit, Hadassah Medical Center and Faculty of Medicine, Hebrew University of Jerusalem, Jerusalem, Israel.
Pediatr Pulmonol. 2021 Dec;56(12):3887-3890. doi: 10.1002/ppul.25689. Epub 2021 Sep 28.
We report manual external chest compression (MECC) as an effective treatment for acute respiratory failure due to severe air trapping. In this retrospective study, we describe our experience with MECC administered to five children suffering from severe air trapping as a consequence of severe asthma or bronchiolitis. These children were admitted to the Pediatric Intensive Care Unit (PICU) with clinical and blood gases parameters compatible with acute respiratory failure. Before intubation MECC was performed. The results of blood gasses before, during, and after MECC showed gradual changes in PCO over time indicating the improvement in tidal volume and ventilation. Respiratory failure resolved in all five children within 4 h with no complications. The need for intubation and mechanical ventilation was avoided, and all children were discharged from the PICU within 48 h.
我们报告手动外部胸部按压（MECC）作为治疗严重空气滞留导致的急性呼吸衰竭的有效方法。在这项回顾性研究中，我们描述了对 5 名因严重哮喘或细支气管炎而严重空气滞留的儿童进行 MECC 的经验。这些儿童因临床和血气参数符合急性呼吸衰竭而被收入儿科重症监护病房（PICU）。在插管前进行 MECC。MECC 前、期间和后的血气结果显示 PCO 随时间逐渐变化，表明潮气量和通气量有所改善。所有 5 名儿童在 4 小时内呼吸衰竭均得到缓解，无并发症。避免了插管和机械通气的需要，所有儿童均在 48 小时内从 PICU 出院。
