Chest Physiotherapy as an Adjunct in a Mechanically Ventilated Infant with Atelectasis: A Case Report

Atelectasis occurs due to impaired airway clearance or complete airway obstruction caused by inflammation, leading to the collapse of tiny airways either partially or completely. This results in impaired exchange of carbon dioxide and oxygen. A chest X-ray, Computed Tomography (CT), and/or thoracic...

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Main Authors: R Hemanth Kumar, Aishwarya Nair
Format: Article
Language:English
Published: JCDR Research and Publications Private Limited 2023-11-01
Series:Journal of Clinical and Diagnostic Research
Subjects:
Online Access:https://www.jcdr.net/articles/PDF/18694/66500_CE[Ra1]_F[SK]_QC(SD_OM)_PF1(AP_OM)_PFA(KM)_AP(AP_OM)_PN(KM).pdf
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author R Hemanth Kumar
Aishwarya Nair
author_facet R Hemanth Kumar
Aishwarya Nair
author_sort R Hemanth Kumar
collection DOAJ
description Atelectasis occurs due to impaired airway clearance or complete airway obstruction caused by inflammation, leading to the collapse of tiny airways either partially or completely. This results in impaired exchange of carbon dioxide and oxygen. A chest X-ray, Computed Tomography (CT), and/or thoracic ultrasound are helpful in identifying atelectasis. In the present case, a 5-month-old female infant was reported to the Paediatric Department with the chief complaint of seizure and loss of consciousness. An X-ray was performed, revealing complete left lung atelectasis with no air entry. The infant was referred for physiotherapy in addition to medical management. Through seven intensive and regular sessions of respiratory physiotherapy, which included techniques such as percussion, vibration, and postural drainage for more than 30 minutes, there was successful resolution of the consolidation and improvement in presenting symptoms. After the final sessions of physiotherapy, the infant was discharged with physiotherapy home programs. This suggests that physiotherapy is an integral part of paediatric critical care, ensuring a good prognosis and faster recovery.
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spelling doaj.art-e7258395f91246dcb1a0a7282d1900792023-11-20T11:44:38ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2023-11-0117110911 10.7860/JCDR/2023/66500.18694Chest Physiotherapy as an Adjunct in a Mechanically Ventilated Infant with Atelectasis: A Case ReportR Hemanth Kumar0Aishwarya Nair1Postgraduate, Nitte Institute of Physiotherapy, NITTE (Deemed to be University), Mangalore, Karnataka, India.Assistant Professor, Nitte Institute of Physiotherapy, NITTE (Deemed to be University), Mangalore, Karnataka, India.Atelectasis occurs due to impaired airway clearance or complete airway obstruction caused by inflammation, leading to the collapse of tiny airways either partially or completely. This results in impaired exchange of carbon dioxide and oxygen. A chest X-ray, Computed Tomography (CT), and/or thoracic ultrasound are helpful in identifying atelectasis. In the present case, a 5-month-old female infant was reported to the Paediatric Department with the chief complaint of seizure and loss of consciousness. An X-ray was performed, revealing complete left lung atelectasis with no air entry. The infant was referred for physiotherapy in addition to medical management. Through seven intensive and regular sessions of respiratory physiotherapy, which included techniques such as percussion, vibration, and postural drainage for more than 30 minutes, there was successful resolution of the consolidation and improvement in presenting symptoms. After the final sessions of physiotherapy, the infant was discharged with physiotherapy home programs. This suggests that physiotherapy is an integral part of paediatric critical care, ensuring a good prognosis and faster recovery.https://www.jcdr.net/articles/PDF/18694/66500_CE[Ra1]_F[SK]_QC(SD_OM)_PF1(AP_OM)_PFA(KM)_AP(AP_OM)_PN(KM).pdfairway collapsemechanical ventilatorsvibration technique
spellingShingle R Hemanth Kumar
Aishwarya Nair
Chest Physiotherapy as an Adjunct in a Mechanically Ventilated Infant with Atelectasis: A Case Report
Journal of Clinical and Diagnostic Research
airway collapse
mechanical ventilators
vibration technique
title Chest Physiotherapy as an Adjunct in a Mechanically Ventilated Infant with Atelectasis: A Case Report
title_full Chest Physiotherapy as an Adjunct in a Mechanically Ventilated Infant with Atelectasis: A Case Report
title_fullStr Chest Physiotherapy as an Adjunct in a Mechanically Ventilated Infant with Atelectasis: A Case Report
title_full_unstemmed Chest Physiotherapy as an Adjunct in a Mechanically Ventilated Infant with Atelectasis: A Case Report
title_short Chest Physiotherapy as an Adjunct in a Mechanically Ventilated Infant with Atelectasis: A Case Report
title_sort chest physiotherapy as an adjunct in a mechanically ventilated infant with atelectasis a case report
topic airway collapse
mechanical ventilators
vibration technique
url https://www.jcdr.net/articles/PDF/18694/66500_CE[Ra1]_F[SK]_QC(SD_OM)_PF1(AP_OM)_PFA(KM)_AP(AP_OM)_PN(KM).pdf
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