Article (Scientific journals)
Postoperative use of nasal intermittent positive pressure in a patient with spinal muscular atrophy type II.
Forget, P.; Lois, Fernande; Pendeville, Ph
2008In Acta Anaesthesiologica Belgica, 59 (2), p. 99-101
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Keywords :
Anesthesia, General/methods; Cholangiopancreatography, Endoscopic Retrograde; Female; Humans; Intermittent Positive-Pressure Ventilation/methods; Middle Aged; Pancreatitis/complications/diagnosis/surgery; Postoperative Care/methods; Spinal Muscular Atrophies of Childhood/complications
Abstract :
[en] We report the successful use of nasal intermittent positive pressure ventilation (NIPPV) in the perioperative period of a 51 yr-old woman with a type II spinal muscular atrophy (SMA II). The patient was treated chronically with nocturnal NIPPV at home and scheduled for endoscopic retrograde cholangiopancreatography (ERCP) under general anesthesia. Some criteria of difficult intubation were present (forced mouth opening of 1.5 cm, short neck and thyromental distance of 5 cm). Nasal endotracheal fiberoptic intubation during spontaneous breathing under sedation with propofol was performed. The ERCP procedure was conducted without complications. At the end of the procedure, IPPV was maintained until recovery of respiratory function. After extubation, NIPPV was continued in the recovery room. The patient was discharged from the post-anesthesia care unit 4 hours after the procedure. Management of patients with SMA remains a challenge and clinicians must be aware that the use of NIPPV may be a useful and life-saving tool in the perioperative period for these patients.
Disciplines :
Anesthesia & intensive care
Author, co-author :
Forget, P.
Lois, Fernande ;  Cliniques Universitaires Saint-Luc (Bruxelles) > Service d'anesthésie - réanimation
Pendeville, Ph
Language :
English
Title :
Postoperative use of nasal intermittent positive pressure in a patient with spinal muscular atrophy type II.
Publication date :
2008
Journal title :
Acta Anaesthesiologica Belgica
ISSN :
0001-5164
eISSN :
2736-5239
Publisher :
Acta Medica Belgica, Bruxelles, Belgium
Volume :
59
Issue :
2
Pages :
99-101
Peer reviewed :
Peer Reviewed verified by ORBi
Available on ORBi :
since 05 March 2017

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