TY - JOUR
T1 - Neurally adjusted ventilatory assist and lung transplant in a child
T2 - A case report
AU - Vitale, Vincenzo
AU - Ricci, Zaccaria
AU - Morelli, Stefano
AU - Giorni, Chiara
AU - Testa, Giuseppina
AU - Chiara, Luca Di
AU - Conti, Giorgio
AU - Picardo, Sergio
PY - 2010/9
Y1 - 2010/9
N2 - Objective: To report the successful application of neurally adjusted ventilatory assist to a child with cystic fibrosis who underwent single-lung transplantation. Design: Case report. Setting: Pediatric cardiac intensive care unit. PATIENT: A 15-yr-old male with cystic fibrosis was admitted to our pediatric cardiac intensive care unit after single-lung transplantation. The child had previously received two bowel resections at the age of 1 yr, right pneumonectomy at the age of 3 yrs, and endoscopic percutaneus gastrostomy at the age of 10 yrs. After transplant, the child failed several attempts of weaning off mechanical ventilation with pressure-support ventilation, due to infection, pneumothorax, and ventilator asynchrony that caused gastric distension and numerous episodes of nausea and vomiting. INTERVENTION: Use of neurally adjusted ventilatory assist to avoid patient-ventilator yssynchrony and consequent gastric distension. ConclusionS: The utilization of neurally adjusted ventilatory assist allowed to limit the risk of overassistance and prevent patient-ventilator asynchrony and to successfully wean the child off mechanical ventilation after single-lung transplant.
AB - Objective: To report the successful application of neurally adjusted ventilatory assist to a child with cystic fibrosis who underwent single-lung transplantation. Design: Case report. Setting: Pediatric cardiac intensive care unit. PATIENT: A 15-yr-old male with cystic fibrosis was admitted to our pediatric cardiac intensive care unit after single-lung transplantation. The child had previously received two bowel resections at the age of 1 yr, right pneumonectomy at the age of 3 yrs, and endoscopic percutaneus gastrostomy at the age of 10 yrs. After transplant, the child failed several attempts of weaning off mechanical ventilation with pressure-support ventilation, due to infection, pneumothorax, and ventilator asynchrony that caused gastric distension and numerous episodes of nausea and vomiting. INTERVENTION: Use of neurally adjusted ventilatory assist to avoid patient-ventilator yssynchrony and consequent gastric distension. ConclusionS: The utilization of neurally adjusted ventilatory assist allowed to limit the risk of overassistance and prevent patient-ventilator asynchrony and to successfully wean the child off mechanical ventilation after single-lung transplant.
KW - gastric distension
KW - lung transplant
KW - mechanical ventilation
KW - neurally adjusted ventilatory assist
KW - patient-ventilator asynchrony
KW - weaning off mechanical ventilation
UR - http://www.scopus.com/inward/record.url?scp=77957580170&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=77957580170&partnerID=8YFLogxK
U2 - 10.1097/PCC.0b013e3181dde5ad
DO - 10.1097/PCC.0b013e3181dde5ad
M3 - Article
C2 - 20407397
AN - SCOPUS:77957580170
VL - 11
JO - Pediatric Critical Care Medicine
JF - Pediatric Critical Care Medicine
SN - 1529-7535
IS - 5
ER -