title: Avoidance of reintubation by using sedation during noninvasive positive pressure ventilation in a 3-month-old infant with postoperative respiratory failure.
abstract: 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.
authors.affiliation: Department of Respiratory Medicine, Graduate School of Medicine, Kyoto University, Kyoto, Japan.
authors.forename: Kizuku
authors.initials: K
authors.lastname: Watanabe
authors.forename: Kazuo
authors.initials: K
authors.lastname: Chin
authors.forename: Kenichi
authors.initials: K
authors.lastname: Takahashi
authors.forename: Masaya
authors.initials: M
authors.lastname: Murata
authors.forename: Hiraku
authors.initials: H
authors.lastname: Doi
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Handa
authors.forename: Toru
authors.initials: T
authors.lastname: Oga
authors.forename: Tomomasa
authors.initials: T
authors.lastname: Tsuboi
authors.forename: Tadashi
authors.initials: T
authors.lastname: Ikeda
authors.forename: Tatsutoshi
authors.initials: T
authors.lastname: Nakahata
authors.forename: Ryuzo
authors.initials: R
authors.lastname: Sakata
authors.forename: Michiaki
authors.initials: M
authors.lastname: Mishima
mesh_terms: 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*
chemical_list: D008874:Midazolam; D002746:Chlorpromazine