Abstract
A 15-yr-old patient with high-level spinal cord injury developed ventilatory failure 24 hr after hospital admission and required continuous ventilatory support. Although he lost all ventilator-free breathing tolerance, he was managed by receiving noninvasive intermittent positive-pressure ventilation rather than intermittent positive-pressure ventilation via an endotracheal intubation. Cooperative, uncomplicated, acutely injured patients with spinal cord injury who develop ventilatory failure are candidates to use noninvasive intermittent positive-pressure ventilation to avoid intubation.
Publication types
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Case Reports
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Research Support, U.S. Gov't, Non-P.H.S.
MeSH terms
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Acute Disease
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Adolescent
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Critical Care / methods
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Diving / injuries
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Humans
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Intermittent Positive-Pressure Ventilation / instrumentation
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Intermittent Positive-Pressure Ventilation / methods*
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Intubation, Intratracheal
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Male
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Monitoring, Physiologic
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Odontoid Process / injuries*
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Oximetry
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Patient Selection
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Quadriplegia / complications*
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Recovery of Function
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Respiratory Insufficiency / diagnosis
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Respiratory Insufficiency / etiology*
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Respiratory Insufficiency / metabolism
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Respiratory Insufficiency / therapy*
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Spinal Fractures / complications*
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Tidal Volume
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Treatment Outcome