Combined use of mask CPAP and minitracheotomy as an alternative to endotracheal intubation : preliminary observation

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 require...

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Bibliographic Details
Published in:Intensive care medicine 1991, Vol.17 (1), p.57-59
Main Authors: IAPICHINO, G, GAVAZZENI, V, MASCHERONI, D, BORDONE, G, SOLCA, M
Format: Article
Language:English
Subjects:
Adult
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Blood Gas Analysis
Emergency and intensive respiratory care
Humans
Intensive care medicine
Male
Masks - standards
Medical sciences
Middle Aged
Positive-Pressure Respiration - instrumentation
Positive-Pressure Respiration - methods
Respiratory Insufficiency - blood
Respiratory Insufficiency - therapy
Tracheotomy - standards
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Description
Summary: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 of tracheotomy. This approach seems particularly suitable in the treatment of immunocompromised patients because of its reduced invasiveness.
ISSN:0342-4642
1432-1238
DOI:10.1007/BF01708411