title: Chest high-frequency oscillatory treatment for severe atelectasis in a patient with toxic epidermal necrolysis.
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.
authors: Department of Surgery, University of North Carolina, Chapel Hill, North Carolina, USA.
authors: Shiara
authors: S
authors: Ortiz-Pujols
authors: Laura A
authors: LA
authors: Boschini
authors: Cristine
authors: C
authors: Klatt-Cromwell
authors: Kathy A
authors: KA
authors: Short
authors: James
authors: J
authors: Hwang
authors: Bruce A
authors: BA
authors: Cairns
authors: Samuel W
authors: SW
authors: Jones
mesh_terms: D000293:Adolescent; D000927:Anticonvulsants / Q000009:adverse effects; D005260:Female; D006612:High-Frequency Ventilation; D006801:Humans; D010672:Phenytoin / Q000009:adverse effects; D001261:Pulmonary Atelectasis / Q000209:etiology* / Q000628:therapy*; D013262:Stevens-Johnson Syndrome / Q000150:complications* / Q000209:etiology* / Q000628:therapy*
chemical_list: D000927:Anticonvulsants; D010672:Phenytoin
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