Atelectasis is a significant risk factor for the development of pneumonia, especially in pediatric populations more prone to alveolar collapse or those who may have weakened muscular tone. The Metaneb® system is a pneumatic, noninvasive physiotherapy technique that delivers chest high-frequency oscillations. Chest high-frequency oscillations have been shown to enhance mucociliary clearance of secretions and help resolve patchy atelectasis. This report describes the case of a 17-year-old female patient who developed significant left-sided atelectasis after extubation and was effectively managed with complete resolution of her atelectasis with the Metaneb® system, obviating the need for reintubation.
From the Departments of *Surgery, †Otolaryngology, and ‡Respiratory Care, University of North Carolina, Chapel Hill.
The authors declare no conflict of interest.
Address correspondence to Shiara M. Ortiz-Pujols, MD, University of North Carolina, Chapel Hill, North Carolina.