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[Kinetic therapy of severe meconium aspiration syndrome].
Z Geburtshilfe Neonatol. 1998 Sep; 202(5):214-6.ZG

Abstract

Recent studies showed the possible positive effect of body position changes during mechanical ventilation of severe lung diseases in adult patients. In neonatology kinetic therapy is still rarely used, therefore we present this case report. A full term newborn suffering from severe MAS and peripartal asphyxia was transferred to our NICU to perform extracorporeal lung support, if necessary. After application of a natural porcine surfactant and start of inhalative nitric oxide therapy (10 ppm) a clinical stabilisation was possible. Because of hypercapnia, high frequency oscillation ventilation was introduced later on. The PaCO2 values decreased quickly. A few days later severe pulmonary secretion problems occurred, which led to atelectasis and barotrauma due to local hyperinflation. After several different ventilation strategies had failed to improve the situation, kinetic therapy in combination with conventional mechanical ventilation was started. Under this therapy-concept it was possible to reventilate the atelectatic lung areas, and quickly an improvement of oxygenation was seen. Weaning from the respirator was possible within one week. In conclusion, we think that an important progress in therapy was due to kinetic therapy.

Authors+Show Affiliations

Urlesberger B
Klinische Abteilungen für Neonatologie, Univ. Klinik für Kinder- und Jugendheilkunde, Graz.
Reiterer F
No affiliation info available
Kuttnig-Haim M
No affiliation info available
Pichler G
No affiliation info available
Müller W
No affiliation info available

MeSH

AdultAsphyxia NeonatorumCombined Modality TherapyHigh-Frequency VentilationHumansInfant, NewbornIntensive Care, NeonatalMeconium Aspiration SyndromePhysical Therapy ModalitiesRotation

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

ger

PubMed ID

9857449

Citation

Urlesberger, B, et al. "[Kinetic Therapy of Severe Meconium Aspiration Syndrome]." Zeitschrift Fur Geburtshilfe Und Neonatologie, vol. 202, no. 5, 1998, pp. 214-6.
Urlesberger B, Reiterer F, Kuttnig-Haim M, et al. [Kinetic therapy of severe meconium aspiration syndrome]. Z Geburtshilfe Neonatol. 1998;202(5):214-6.
Urlesberger, B., Reiterer, F., Kuttnig-Haim, M., Pichler, G., & Müller, W. (1998). [Kinetic therapy of severe meconium aspiration syndrome]. Zeitschrift Fur Geburtshilfe Und Neonatologie, 202(5), 214-6.
Urlesberger B, et al. [Kinetic Therapy of Severe Meconium Aspiration Syndrome]. Z Geburtshilfe Neonatol. 1998;202(5):214-6. PubMed PMID: 9857449.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Kinetic therapy of severe meconium aspiration syndrome]. AU - Urlesberger,B, AU - Reiterer,F, AU - Kuttnig-Haim,M, AU - Pichler,G, AU - Müller,W, PY - 1998/12/19/pubmed PY - 1998/12/19/medline PY - 1998/12/19/entrez SP - 214 EP - 6 JF - Zeitschrift fur Geburtshilfe und Neonatologie JO - Z Geburtshilfe Neonatol VL - 202 IS - 5 N2 - Recent studies showed the possible positive effect of body position changes during mechanical ventilation of severe lung diseases in adult patients. In neonatology kinetic therapy is still rarely used, therefore we present this case report. A full term newborn suffering from severe MAS and peripartal asphyxia was transferred to our NICU to perform extracorporeal lung support, if necessary. After application of a natural porcine surfactant and start of inhalative nitric oxide therapy (10 ppm) a clinical stabilisation was possible. Because of hypercapnia, high frequency oscillation ventilation was introduced later on. The PaCO2 values decreased quickly. A few days later severe pulmonary secretion problems occurred, which led to atelectasis and barotrauma due to local hyperinflation. After several different ventilation strategies had failed to improve the situation, kinetic therapy in combination with conventional mechanical ventilation was started. Under this therapy-concept it was possible to reventilate the atelectatic lung areas, and quickly an improvement of oxygenation was seen. Weaning from the respirator was possible within one week. In conclusion, we think that an important progress in therapy was due to kinetic therapy. SN - 0948-2393 UR - https://www.unboundmedicine.com/medline/citation/9857449/[Kinetic_therapy_of_severe_meconium_aspiration_syndrome]_ L2 - https://www.diseaseinfosearch.org/result/4539 DB - PRIME DP - Unbound Medicine ER -