Intrapulmonary percussive ventilation via Mini-Trach II in critical care: a case report
Abstract Background Intrapulmonary percussive ventilation (IPV) facilitates the mobilization and clearance of bronchial secretions. Cricothyroidotomy using a Mini-Trach II device is a minimally invasive method used for secretion clearance. To our knowledge, there are no previous reports regarding IP...
| Main Authors: | , , , |
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| Format: | Article |
| Language: | English |
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SpringerOpen
2021-08-01
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| Series: | JA Clinical Reports |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s40981-021-00464-6 |
| _version_ | 1818916027117862912 |
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| author | Emina Niisato Yoshiyuki Hiramoto Hitoshi Yamada Naoki Matsumiya |
| author_facet | Emina Niisato Yoshiyuki Hiramoto Hitoshi Yamada Naoki Matsumiya |
| author_sort | Emina Niisato |
| collection | DOAJ |
| description | Abstract Background Intrapulmonary percussive ventilation (IPV) facilitates the mobilization and clearance of bronchial secretions. Cricothyroidotomy using a Mini-Trach II device is a minimally invasive method used for secretion clearance. To our knowledge, there are no previous reports regarding IPV combined with Mini-Trach II. Case presentation An 82-year-old man underwent controlled mechanical ventilation and IPV via an endotracheal tube to treat atelectasis following emergency surgical repair of a traumatic diaphragm laceration. He underwent cricothyroidotomy using Mini-Trach II for ensuring airway management after extubation. On resumption, IPV through a mouthpiece or face mask was unsuccessful owing to air leakage from his mouth. However, IPV via the already inserted Mini-Trach II could deliver the percussion flow and led to a marked improvement in his condition. Conclusion This experience indicates that Mini-Trach II is beneficial as a minimally invasive interface for IPV that can deliver percussion flow efficiently. |
| first_indexed | 2024-12-20T00:11:38Z |
| format | Article |
| id | doaj.art-35584e90001d4574a88c2c1ef87a135a |
| institution | Directory Open Access Journal |
| issn | 2363-9024 |
| language | English |
| last_indexed | 2024-12-20T00:11:38Z |
| publishDate | 2021-08-01 |
| publisher | SpringerOpen |
| record_format | Article |
| series | JA Clinical Reports |
| spelling | doaj.art-35584e90001d4574a88c2c1ef87a135a2022-12-21T20:00:29ZengSpringerOpenJA Clinical Reports2363-90242021-08-01711410.1186/s40981-021-00464-6Intrapulmonary percussive ventilation via Mini-Trach II in critical care: a case reportEmina Niisato0Yoshiyuki Hiramoto1Hitoshi Yamada2Naoki Matsumiya3Department of Anesthesiology and Intensive Care Medicine, Ibaraki Prefectural Central HospitalDepartment of Anesthesiology, Urayasu Hospital, Juntendo UniversityDepartment of Emergency and Intensive Care Medicine, Tsuchiura Kyodo General HospitalDepartment of Anesthesiology, Tsuchiura Kyodo General HospitalAbstract Background Intrapulmonary percussive ventilation (IPV) facilitates the mobilization and clearance of bronchial secretions. Cricothyroidotomy using a Mini-Trach II device is a minimally invasive method used for secretion clearance. To our knowledge, there are no previous reports regarding IPV combined with Mini-Trach II. Case presentation An 82-year-old man underwent controlled mechanical ventilation and IPV via an endotracheal tube to treat atelectasis following emergency surgical repair of a traumatic diaphragm laceration. He underwent cricothyroidotomy using Mini-Trach II for ensuring airway management after extubation. On resumption, IPV through a mouthpiece or face mask was unsuccessful owing to air leakage from his mouth. However, IPV via the already inserted Mini-Trach II could deliver the percussion flow and led to a marked improvement in his condition. Conclusion This experience indicates that Mini-Trach II is beneficial as a minimally invasive interface for IPV that can deliver percussion flow efficiently.https://doi.org/10.1186/s40981-021-00464-6Intrapulmonary percussive ventilationMini-Trach IIDiaphragmatic injuryDiaphragmatic dysfunctionAtelectasis |
| spellingShingle | Emina Niisato Yoshiyuki Hiramoto Hitoshi Yamada Naoki Matsumiya Intrapulmonary percussive ventilation via Mini-Trach II in critical care: a case report JA Clinical Reports Intrapulmonary percussive ventilation Mini-Trach II Diaphragmatic injury Diaphragmatic dysfunction Atelectasis |
| title | Intrapulmonary percussive ventilation via Mini-Trach II in critical care: a case report |
| title_full | Intrapulmonary percussive ventilation via Mini-Trach II in critical care: a case report |
| title_fullStr | Intrapulmonary percussive ventilation via Mini-Trach II in critical care: a case report |
| title_full_unstemmed | Intrapulmonary percussive ventilation via Mini-Trach II in critical care: a case report |
| title_short | Intrapulmonary percussive ventilation via Mini-Trach II in critical care: a case report |
| title_sort | intrapulmonary percussive ventilation via mini trach ii in critical care a case report |
| topic | Intrapulmonary percussive ventilation Mini-Trach II Diaphragmatic injury Diaphragmatic dysfunction Atelectasis |
| url | https://doi.org/10.1186/s40981-021-00464-6 |
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