Avoidance of reintubation by using sedation during noninvasive positive pressure ventilation in a 3-month-old infant with postoperative respiratory failure.
Maintaining alertness during noninvasive positive pressure ventilation (NPPV) is important, but there are no established guidelines for the use of sedation. We report our first experience of an infant with post-surgical vocal cord paralysis, severe stridor and breathing difficulties, who was reintubated after NPPV treatment without sedation, but who avoided a third reintubation through the use of sedation with the second NPPV treatment. NPPV treatment with the proper sedation can improve blood gas data in those patients with severe dyspnea, which can occur during respiratory care in several situations, and can affect not only infants, but also adults including elderly patients.
Watanabe
Kizuku
K
Department of Respiratory Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
Chin
Kazuo
K
Takahashi
Kenichi
K
Murata
Masaya
M
Doi
Hiraku
H
Handa
Tomohiro
T
Oga
Toru
T
Tsuboi
Tomomasa
T
Ikeda
Tadashi
T
Nakahata
Tatsutoshi
T
Sakata
Ryuzo
R
Mishima
Michiaki
M
D002746:Chlorpromazine; D054810:Deep Sedation; D006801:Humans; D007223:Infant; D007442:Intubation, Intratracheal / Q000009:adverse effects; D008297:Male; D008874:Midazolam; D011175:Positive-Pressure Respiration / Q000009:adverse effects; D011183:Postoperative Complications / Q000209:etiology / Q000628:therapy*; D012131:Respiratory Insufficiency / Q000209:etiology / Q000628:therapy*
D008874:Midazolam; D002746:Chlorpromazine