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Noninvasive ventilation options in pediatric myasthenia gravis
Author(s) -
PIASTRA MARCO,
CONTI GIORGIO,
CARESTA ELENA,
TEMPERA ALESSIA,
CHIARETTI ANTONIO,
POLIDORI GIANCARLO,
ANTONELLI MASSIMO
Publication year - 2005
Publication title -
pediatric anesthesia
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.704
H-Index - 82
eISSN - 1460-9592
pISSN - 1155-5645
DOI - 10.1111/j.1460-9592.2005.01617.x
Subject(s) - medicine , myasthenia gravis , noninvasive ventilation , ventilation (architecture) , intensive care medicine , mechanical ventilation , anesthesia , mechanical engineering , engineering
Summary 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.