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Case Reports
. 1997 Jul;44(7):727-31.
doi: 10.1007/BF03013386.

Treatment of acute respiratory failure by prolonged non-invasive ventilation in a child

P Marino  1 , G Rosa, G Conti, A A Cogliati
Affiliations
Case Reports

Treatment of acute respiratory failure by prolonged non-invasive ventilation in a child

P Marino et al. Can J Anaesth. 1997 Jul.

Abstract

Purpose: To evaluate the feasibility and the efficacy of non-invasive ventilation (NIV) by nasal mask in a paediatric patient.

Clinical features: A four-year-old girl with acute lymphocytic leukaemia (ALL L1, pre-pre B) complicated by acute respiratory failure was treated with NIV. ON admission she exhibited hyperpyrexia (40C), pancytopaenia and severe hypoxia with hypocapnia (PaO2 = 45 mmHg; PaCO2 = 28.2 mmHG; pH = 7.30; SpO2 = 76%; ABE = -7.3 mmol.L-1. With NIV, PaO2 improved (PaO2 = 78 +/- 8 mmHG; SpO2 = 86 +/- 2; PaCO2 = 39 +/- 2) throughout the first day. Treatment was continued for six days until the patient was discharged. No complications were recorded.

Conclusion: Non-invasive ventilation by nasal mask may represent a choice in the treatment of acute respiratory failure of parenchymal origin in paediatric haematological patients.

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