학술논문

Noninvasive ventilation options in pediatric myasthenia gravis.
Document Type
Article
Source
Pediatric Anesthesia. Aug2005, Vol. 15 Issue 8, p699-702. 4p.
Subject
*MYASTHENIA gravis
*ARTIFICIAL respiration
*INFANT diseases
*ATELECTASIS
*PEDIATRIC respiratory diseases
Language
ISSN
1155-5645
Abstract
A 10-month-old female infant with congenital myasthenic syndrome suffering from acute respiratory failure was supported using facemask positive pressure ventilation until definitive diagnosis and specific treatment was achieved. A 12-year-old girl suffering from seronegative myasthenia gravis was treated by helmet-delivered noninvasive ventilation during recurrent myasthenic episodes. Noninvasive support was really beneficial in the myasthenic crisis with respiratory muscle weakness, whereas a shift to tracheal intubation was necessary when pulmonary infection and multiple atelectasis occurred. The new helmet interface for noninvasive positive pressure ventilation can represent a valuable means of respiratory support in the early phase of respiratory failure in older children. [ABSTRACT FROM AUTHOR]