Insufflation-exsufflation devices in post-operative respiratory failure: Case report
Introduction: Patients suffering from a neuromuscular disease have a greater likelihood of postoperative respiratory failure. Sometimes, this complication does not respond to noninvasive mechanical ventilation.
Case report: Perioperative management of a patient with Werdnig-Hoffmann disease who underwent bilateral coronoidectomy due to trismus. The postoperative period was hampered by the patient's poor respiratory mechanics, inducing the appearance of atelectasis. Despite the application of preventive non-invasive mechanical ventilation, the patient suffered respiratory failure and required endotracheal intubation. Finally, the respiratory weaning was achieved after the application of insufflation-exsufflation devices associated with non-invasive mechanical ventilation.
Conclusion: The application of insufflations-exsufflation devices in the immediate postoperative period of patients with neuromuscular diseases promotes the proper respiratory evolution of a patient considered impossible to extubate.
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