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Case Reports
. 2013 Mar-Apr;34(2):e112-5.
doi: 10.1097/BCR.0b013e318257d83e.

Chest high-frequency oscillatory treatment for severe atelectasis in a patient with toxic epidermal necrolysis

Shiara Ortiz-Pujols  1 , Laura A Boschini, Cristine Klatt-Cromwell, Kathy A Short, James Hwang, Bruce A Cairns, Samuel W Jones
Affiliations
Case Reports

Chest high-frequency oscillatory treatment for severe atelectasis in a patient with toxic epidermal necrolysis

Shiara Ortiz-Pujols et al. J Burn Care Res. 2013 Mar-Apr.

Abstract

Atelectasis is a significant risk factor for the development of pneumonia, especially in pediatric populations more prone to alveolar collapse or those who may have weakened muscular tone. The Metaneb system is a pneumatic, noninvasive physiotherapy technique that delivers chest high-frequency oscillations. Chest high-frequency oscillations have been shown to enhance mucociliary clearance of secretions and help resolve patchy atelectasis. This report describes the case of a 17-year-old female patient who developed significant left-sided atelectasis after extubation and was effectively managed with complete resolution of her atelectasis with the Metaneb system, obviating the need for reintubation.

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Figures

Figure 1
Figure 1
Continuous high frequency oscillations are delivered during both inspiration and expiration (With permission from Hill Rom®)
Figure 2
Figure 2
Patient interface between the patient and Metaneb® (With permission from Hill Rom®)
Figure 3
Figure 3
CXR on HD 17
Figure 4
Figure 4
CXR on HD 19 showing worsening left-sided atelectasis
Figure 5
Figure 5
CXR just four hours after the initiation of CHFO treatment
Figure 6
Figure 6
CXR appearance on HD 21, two days after starting CHFO
See this image and copyright information in PMC

References

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