Skip Navigation LinksHome > March/April 2013 - Volume 34 - Issue 2 > Chest High-Frequency Oscillatory Treatment for Severe Atelec...
Journal of Burn Care & Research:
doi: 10.1097/BCR.0b013e318257d83e
Case Reports

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*

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Abstract

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.

© 2013 The American Burn Association

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