Usefulness of Heliox in the management of a serious airway obstruction caused by a subglottic hemangioma

Heliox therapy, alone or combined with noninvasive ventilation, has successfully been used in the treatment of infants and children with respiratory disease such as airway obstruction. We describe the case of a 1-month-old infant with severe upper respiratory airway obstruction (approximately 80 %)...

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Bibliographic Details
Published in:Anales de pediatría (Barcelona, Spain : 2003) Spain : 2003), 2007-07, Vol.67 (1), p.61-64
Main Authors: Castelló Muñoz, A, Carreira Sande, N, Bouzón Alejandro, M, Pérez Valle, S, Rodríguez Núñez, A, Martinón Sánchez, J M, Martinón-Torres, F
Format: Article
Language:Spanish
Subjects:
Airway Obstruction - etiology
Airway Obstruction - therapy
Combined Modality Therapy
Female
Glottis
Helium - therapeutic use
Hemangioma - complications
Humans
Hypoxia - physiopathology
Infant
Laryngeal Neoplasms - complications
Oxygen - therapeutic use
Respiration, Artificial
Severity of Illness Index
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Summary:Heliox therapy, alone or combined with noninvasive ventilation, has successfully been used in the treatment of infants and children with respiratory disease such as airway obstruction. We describe the case of a 1-month-old infant with severe upper respiratory airway obstruction (approximately 80 %) secondary to multiple cervical hemangiomatosis effectively treated with either Heliox alone or combined with nasal continuous positive airway pressure. This treatment provided symptomatic relief and facilitated diagnosis and subsequent application of specific treatment; the patient was free of signs of respiratory distress and the use of aggressive treatments such as endotracheal intubation or tracheal cannulation was avoided. Heliox can constitute a multipurpose, safe and useful tool in the noninvasive management of infants and children with serious obstructive respiratory disease.
ISSN:1695-4033