Avoidance of Reintubation by Using Sedation during Noninvasive Positive Pressure Ventilation in a 3-Month-Old Infant with Postoperative Respiratory Failure
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概要
- 論文の詳細を見る
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.
著者
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Oga Toru
Department Of Pharmacology Kyoto University Faculty Of Medicine
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HANDA Tomohiro
Department of Respiratory Medicine, Graduate School of Medicine, Kyoto University
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Chin Kazuo
Department Of Physical Therapeutics Kyoto University
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Mishima Michiaki
Department Of Respiratory Medicine Graduate School Of Medicine Kyoto University
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Nakahata Tatsutoshi
Department Of Clinical Oncology The Institute Of Medical Science The University Of Tokyo
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Tsuboi Tomomasa
Department Of Respiratory Care And Sleep Control Medicine Kyoto University Graduate School Of Medici
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Murata Masaya
Department Of Cardiovascular Surgery Shizuoka Children's Hospital
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Sakata Ryuzo
Department Of Cardiovascular Surgery Division Of Bioinformatics And Chemical Genomics Graduate Schoo
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Takahashi Kenichi
Department Of Anatomy
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Ikeda Tadashi
Department Of Cardiovascular Surgery Graduate School Of Medicine Kyoto University
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CHIN KAZUO
Department of Respiratory Care and Sleep Control Medicine, Graduate School of Medicine, Kyoto University
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Nakahata Tatsutoshi
Department of Pediatrics, Graduate School of Medicine, Kyoto University
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Doi Hiraku
Department of Pediatrics, Graduate School of Medicine, Kyoto University
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Watanabe Kizuku
Department of Respiratory Medicine, Graduate School of Medicine, Kyoto University
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Tsuboi Tomomasa
Department of Rehabilitation Medicine, Kyoto University Hospital
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Tsuboi Tomomasa
Department of Respiratory Care and Sleep Control Medicine, Graduate School of Medicine, Kyoto University
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Oga Toru
Department of Respiratory Care and Sleep Control Medicine, Graduate School of Medicine, Kyoto University
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