Intrapulmonary percussive ventilation via Mini-Trach II in critical care: a case report.

Abstract

BACKGROUND:

Intrapulmonary percussive ventilation (IPV) facilitates the mobilization and clearance of bronchial secretions. Cricothyroidotomy using a Mini-Trach II device is a minimally invasive method used for secretion clearance. To our knowledge, there are no previous reports regarding IPV combined with Mini-Trach II.

CASE PRESENTATION:

An 82-year-old man underwent controlled mechanical ventilation and IPV via an endotracheal tube to treat atelectasis following emergency surgical repair of a traumatic diaphragm laceration. He underwent cricothyroidotomy using Mini-Trach II for ensuring airway management after extubation. On resumption, IPV through a mouthpiece or face mask was unsuccessful owing to air leakage from his mouth. However, IPV via the already inserted Mini-Trach II could deliver the percussion flow and led to a marked improvement in his condition.

CONCLUSION:

This experience indicates that Mini-Trach II is beneficial as a minimally invasive interface for IPV that can deliver percussion flow efficiently.

• Authors: Emina Niisato, Yoshiyuki Hiramoto, Hitoshi Yamada, Naoki Matsumiya
• Journal: JA clinical reports (JA Clin Rep) Vol. 7 Issue 1 Pg. 60 (Aug 06 2021) ISSN: 2363-9024 [Electronic] Germany
• PMID: 34363131 (Publication Type: Journal Article)
• Copyright: © 2021. The Author(s).