RE-EXPANSION OF AN ATELECTATIC LUNG THROUGH FLEXIBLE BRONCHOSCOPY IN A CHILD WITH DERMATOMYOSITIS AND CELIAC DISEASE
Journal Title: Acta Facultatis Medicae Naissensis - Year 2013, Vol 30, Issue 1
Abstract
This paper describes the utility of flexible bronchoscopy in a sick child diagnosed with dermatomyositis, celiac disease. Mucus plug is a common medical cause of lung atelectasis. Due to deteriorated respiratory condition, the child was highly febrile, cyanotic, liver 6-7 cm, palpable under the right rib arch. We described a child with dermatomyositis and lung atelectasis. Atelectasis causes difficulty breathing and decreased oxygen saturation, so the child was intubated and put on a complete mechanical ventilation. Before intubation, the number of respirations exceeded 40/min, O2 saturation on the pulse oximeter fell under 73%. Pulse rate was 173/min, blood pressure 94/37 mmHg. Before intubation, the gas analysis of blood showed: Ph below 7.30 and pCO2 9 kPa, pO2 in the blood below 4.9 kPa. After flexible bronchoscopy was performed, therapeutic and diagnostic, lung reexpansion was enabled. After performed bronchoalveolar lavage with 0.9% NaCL 1 ml per kg TT, twice repeated, corticosteroids were introduced at the site of the changed mucus membrane. Mechanical ventilation parameters: Fio2, number of respirations and inspiratory pressure decreased. Values of gas analysis: ph improvement above 7.30 Pco2 3.6kPa, pO2 in the blood 11. O2 saturation 95%, pulse rate 120/min. The five-year-old child patient was extubated five days after bronchoscopy and was transferred to the standard Pulmonology Ward. Blood derivatives were obtained on several occasions. The condition improved, methotrexat therapy was introduced, with corticosteroids once a week, 3x40 mg i.v., on other week days Pronison 5 mg 4x1.
Authors and Affiliations
Amina Selimović, Milan Rančić, Ermina Mujičić, Senka Mesihović Dinarević, Aida Hasanović, Siniša Ristić, Zoran Svetozarević
Effects of Dynamic Exercise and Dynamic Resistance Training in Rehabilitation of Patients after Surgical Coronary Revascularization - - - Efekat Dinamskih vežbi sa opterećenjem na rehabilitaciju bolesnika nakon hirurške revaskularizacije srca
Cardiac rehabilitation is an integral part of the complex therapy of cardiac patients. The aim of this study was to determine the effect of dynamic exercise and dynamic resistance training on exertion tolerance, muscle s...
KLINIČKE I NEUROFIZIOLOŠKE KARAKTERISTIKE BOLESNIKA SA KLINIČKI IZOLOVANIM SINDROMOM KOJI UKAZUJE NA MULTIPLU SKLEROZU
Klinički izolovani sindrom koji ukazuje na multiplu sklerozu predstavlja monofaznu kliničku prezentaciju sa suspektnom osnovom inflamatorne demijelinizacione epizode. Klinički izolovani sindrom potkrepljen nalazom magnet...
SUBCONJUNCTIVAL INFECTION DUE TO DIROFILARIA REPENS - CASE REPORT
The aim of the survey was to present the clinical course and surgical treatment of the first case of human ocular dirofilariosis on the territory of the city of Niš, in the southeast Serbia. Male patient, 57 years old, v...
Upoređivanje efekata deksmedetomidina i midazolama na sedaciju dece sa povredom glave radi snimanja CT-om na Odeljenju urgentne medicine
Veliki broj dece koja se upućuju na Odeljenje urgentne medicine javlja se zbog povreda glave. Najčešće se deci daju sedativi kako bi se umirila i savladala strah zbog CT snimanja. Deksmedetomidin i Midazolam pripadaju gr...
ANALYSIS OF STUDENT'S ERRORS IN ENGLISH FOR MEDICAL PURPOSES
Medical students need to be aware not only of their present and future needs during the course of medical English but also of difficulties and problems they possess concerning the knowledge of general English. The aim of...