Abstract
We describe the combined use of mask CPAP (continuous positive airway pressure) and minitracheotomy as an alternative to conventional endotracheal intubation in 3 patients requiring CPAP, secretion removal and diagnostic procedures such as bronchoalveolar lavage and bronchial cultures. These requirements were fulfilled with the combined technique approach, thus preserving glottic function and avoiding the disadvantages of endotracheal intubation or trachectomy. This approach seems particularly suitable in the treatment of immunocompromised patients because of its reduced invasiveness.
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Greenbaum DM, Miller JE, Eross B, Snyler JV, Grenvik A, Safar P (1976) continuous positive airways pressure without endotracheal intubation in spontaneously breathing patients. Chest 69:615
Matthews HR and Hopkinson RB (1984) Treatment of sputum retention by minitracheotomy. Br J Surg 71:147
Branson RD (1988) PEEP without endotracheal intubation. Respir Care 33:598
Pedersen J, Schurizeck BA, Melsen NC, Juhl B (1988) Minitracheotomy in the treatment of postoperative sputum retention and atelectasis. Acta Anaesthesiol Scand 32:426
Johanson G Jr (1989) Bacterial infection in ARDS: pathogenetic mechanism and consequences. In: Textbook of critical care, 2nd edn. Saunders, Philadelphia London Toronto, p 849
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This work was supported in part by CNR-CT 88.01929.04-1988
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Iapichino, G., Gavazzeni, V., Mascheroni, D. et al. Combined use of mask CPAP and minitracheotomy as an alternative to endotracheal intubation. Intensive Care Med 17, 57–59 (1991). https://doi.org/10.1007/BF01708411
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DOI: https://doi.org/10.1007/BF01708411