Thoracic Block Technique Associated with Positive End-Expiratory Pressure in Reversing Atelectasis
A preschool four-year-old male patient had been admitted to the Mandaqui Hospital with a diagnosis of lobar pneumonia, pleural effusion, and right lung atelectasis. Treatment consisted of antibiotics and physiotherapy sessions, using a technique described in the literature as Insufflation Technique...
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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Case Reports in Pediatrics |
| Online Access: | http://dx.doi.org/10.1155/2015/490326 |
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| _version_ | 1832551730943885312 |
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| author | Luciana Carnevalli Pereira Ana Paula de Souza Netto Fernanda Cordeiro da Silva Silvana Alves Pereira Cristiane Aparecida Moran |
| author_facet | Luciana Carnevalli Pereira Ana Paula de Souza Netto Fernanda Cordeiro da Silva Silvana Alves Pereira Cristiane Aparecida Moran |
| author_sort | Luciana Carnevalli Pereira |
| collection | DOAJ |
| description | A preschool four-year-old male patient had been admitted to the Mandaqui Hospital with a diagnosis of lobar pneumonia, pleural effusion, and right lung atelectasis. Treatment consisted of antibiotics and physiotherapy sessions, using a technique described in the literature as Insufflation Technique to Reverse Atelectasis (ITRA), which consists of a thoracic block of healthy lung tissue, leaving only the atelectasis area free, associated with the use of invasive or noninvasive mechanical ventilation with positive airway pressure for reversal of atelectasis. Two physiotherapy sessions were conducted daily. The sessions lasted 20 minutes and were fractionated into four series of five minutes each. Each series bilateral thoracic block was performed for 20 seconds with a pause lasting for the same time. Associated with the thoracic block, a continuous positive airways pressure was used using a facial mask and 7 cm H2O PEEP provided via CPAP. Conclusion. ITRA technique was effective in reversing atelectasis in this patient. |
| format | Article |
| id | doaj-art-49315c4bf9164d01b4b9eee7b4ab4da7 |
| institution | Kabale University |
| issn | 2090-6803 2090-6811 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Pediatrics |
| spelling | doaj-art-49315c4bf9164d01b4b9eee7b4ab4da72025-02-03T06:00:42ZengWileyCase Reports in Pediatrics2090-68032090-68112015-01-01201510.1155/2015/490326490326Thoracic Block Technique Associated with Positive End-Expiratory Pressure in Reversing AtelectasisLuciana Carnevalli Pereira0Ana Paula de Souza Netto1Fernanda Cordeiro da Silva2Silvana Alves Pereira3Cristiane Aparecida Moran4University Nove de Julho (UNINOVE), São Paulo, BrazilUniversity Nove de Julho (UNINOVE), São Paulo, BrazilUniversity Nove de Julho (UNINOVE), São Paulo, BrazilAna Bezerra University Hospital (HUAB/EBSERH) and Federal University of Rio Grande do Norte (UFRN/FACISA), RN, BrazilUniversity Nove de Julho (UNINOVE), São Paulo, BrazilA preschool four-year-old male patient had been admitted to the Mandaqui Hospital with a diagnosis of lobar pneumonia, pleural effusion, and right lung atelectasis. Treatment consisted of antibiotics and physiotherapy sessions, using a technique described in the literature as Insufflation Technique to Reverse Atelectasis (ITRA), which consists of a thoracic block of healthy lung tissue, leaving only the atelectasis area free, associated with the use of invasive or noninvasive mechanical ventilation with positive airway pressure for reversal of atelectasis. Two physiotherapy sessions were conducted daily. The sessions lasted 20 minutes and were fractionated into four series of five minutes each. Each series bilateral thoracic block was performed for 20 seconds with a pause lasting for the same time. Associated with the thoracic block, a continuous positive airways pressure was used using a facial mask and 7 cm H2O PEEP provided via CPAP. Conclusion. ITRA technique was effective in reversing atelectasis in this patient.http://dx.doi.org/10.1155/2015/490326 |
| spellingShingle | Luciana Carnevalli Pereira Ana Paula de Souza Netto Fernanda Cordeiro da Silva Silvana Alves Pereira Cristiane Aparecida Moran Thoracic Block Technique Associated with Positive End-Expiratory Pressure in Reversing Atelectasis Case Reports in Pediatrics |
| title | Thoracic Block Technique Associated with Positive End-Expiratory Pressure in Reversing Atelectasis |
| title_full | Thoracic Block Technique Associated with Positive End-Expiratory Pressure in Reversing Atelectasis |
| title_fullStr | Thoracic Block Technique Associated with Positive End-Expiratory Pressure in Reversing Atelectasis |
| title_full_unstemmed | Thoracic Block Technique Associated with Positive End-Expiratory Pressure in Reversing Atelectasis |
| title_short | Thoracic Block Technique Associated with Positive End-Expiratory Pressure in Reversing Atelectasis |
| title_sort | thoracic block technique associated with positive end expiratory pressure in reversing atelectasis |
| url | http://dx.doi.org/10.1155/2015/490326 |
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