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Journals / Türk Yoğun Bakım Dergisi / 2015 / Cilt: 13 - Sayı: 1

An Acute Respiratory Distress Syndrome Patient Successfully Treated with Noninvasive Mechanical Ventilation

Noninvaziv Mekanik Ventilasyon ile Başarılı Bir Şekilde Tedavi Edilen Bir Akut Respiratuvar Distress Sendromu Olgusu

YUSUF SAVRAN
Tuğba BAŞOĞLU
Güntuğ Güngör
SEVGİ ÖZTÜRK
Pages
37–40
DOI
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AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

Key Words: Acute respiratory distress

📌 3 Key Takeaways

🎯
Objective & Hypothesis:SUMMARY Since still controversial and not often applied, we would like to share our acute respiratory distress syndrome (ARDS) patient successfully treated with noninvasive mechanical ventilation.
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Key Findings & Data:A 26 year-old male patient with the diagnosis of Burkitt lymphoma was admitted to our intensive care unit because of neutropenic fever and sepsis-induced ARDS after chemotherapy.
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Conclusion & Impact:Key Words: Acute respiratory distress
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

SUMMARY Since still controversial and not often applied, we would like to share our acute respiratory distress syndrome (ARDS) patient successfully treated with noninvasive mechanical ventilation. A 26 year-old male patient with the diagnosis of Burkitt lymphoma was admitted to our intensive care unit because of neutropenic fever and sepsis-induced ARDS after chemotherapy. Although PO2/FiO2=114.2, we started non- invasive mechanical ventilation since the patient was conscious and cooperative. Non-invasive mechanical ventilation and spontaneous respiration experiments were successfully managed according to the intermittent arterial blood gas results and the need for non-invasive mechanical ventilation was disappeared at the end of 72 hours. Especially in the early phases of ARDS and in selected patients non-invasive mechanical ventilation should be tried before intubation but invasive mechanical ventilation should not be delayed if the patient deteriorates. Key Words: Acute respiratory distress

Özet

d ÖZET Halen tartışmalı olması ve literatürde sık rastlanmaması nedeniyle noninvaziv mekanik ventilasyon ile başarılı bir şekilde tedavi ettiğimiz Akut respiratuvar distress sendromu (ARDS) olgumuz ile ilgili tecrübelerimizi paylaşmak istiyoruz. Yirmi altı yaşındaki Burkitt lenfoma tanılı erkek hasta kemoterapi sonrası nötropenik ateş ve sepsis ilişkili ARDS tanılarıyla yoğun bakıma yatırıldı. Hastanın bilincinin ve kooperasyonunun iyi olması sebebiyle PO2/FiO2=114,2 olmasına rağmen noninvaziv mekanik ventilasyon başlandı. Noninvaziv mekanik ventilasyon destek basınçları ve spontan solunum denemeleri, aralıklı arteriyel kan gazı sonuçlarına göre başarılı bir şekilde yönetilerek 72 saat sonunda noninvaziv mekanik ventilasyon ihtiyacı kalmadı. Özellikle erken dönem ARDS ve uygun seçilmiş olgularda entübasyondan önce noninvaziv mekanik ventilasyon denenmelidir ancak noninvaziv mekanik ventilasyon ile hasta iyileşmiyor, kötüleşiyorsa invaziv mekanik ventilasyon uygulaması geciktirilmemelidir.

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Cite This Article

SAVRAN, Y., BAŞOĞLU, T., Güngör, G., ÖZTÜRK, S. (2015). An Acute Respiratory Distress Syndrome Patient Successfully Treated with Noninvasive Mechanical Ventilation. Türk Yoğun Bakım Dergisi, Cilt: 13 - Sayı: 1, 37–40. https://ajindex.com/articles/327779

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