Traumatic tetraplegia: noninvasive respiratory management in the acute setting.
A 15-yr-old patient with high-level spinal cord injury developed ventilatory failure 24 hr after hospital admission and required continuous ventilatory support. Although he lost all ventilator-free breathing tolerance, he was managed by receiving noninvasive intermittent positive-pressure ventilation rather than intermittent positive-pressure ventilation via an endotracheal intubation. Cooperative, uncomplicated, acutely injured patients with spinal cord injury who develop ventilatory failure are candidates to use noninvasive intermittent positive-pressure ventilation to avoid intubation.
D000208:Acute Disease; D000293:Adolescent; D003422:Critical Care / Q000379:methods; D004242:Diving / Q000293:injuries; D006801:Humans; D007385:Intermittent Positive-Pressure Ventilation / Q000295:instrumentation / Q000379:methods*; D007442:Intubation, Intratracheal; D008297:Male; D008991:Monitoring, Physiologic; D009809:Odontoid Process / Q000293:injuries*; D010092:Oximetry; D018579:Patient Selection; D011782:Quadriplegia / Q000150:complications*; D020127:Recovery of Function; D012131:Respiratory Insufficiency / Q000175:diagnosis / Q000209:etiology* / Q000378:metabolism / Q000628:therapy*; D016103:Spinal Fractures / Q000150:complications*; D013990:Tidal Volume; D016896:Treatment Outcome