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Chest High-Frequency Oscillatory Treatment for Severe Atelectasis in a Patient With Toxic Epidermal Necrolysis

Ortiz-Pujols, Shiara MD*; Boschini, Laura A. MA, MD*; Klatt-Cromwell, Cristine MD; Short, Kathy A. RRT, RN; Hwang, James MD*; Cairns, Bruce A. MD*; Jones, Samuel W. MD*

doi: 10.1097/BCR.0b013e318257d83e
Case Reports

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.

© 2013 The American Burn Association