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DORSAL BRAINSTEM SYNDROME AND THE USE OF NEURALLY ADJUSTED VENTILATORY ASSIST (NAVA) IN AN INFANT

OBJECTIVE: To report a rare case of dorsal brainstem syndrome in an infant after hypoxic-ischemic episode due to severe sepsis and the use of neurally adjusted ventilatory assist (NAVA) to aid in diagnosis and in the removal of mechanical ventilation. CASE DESCRIPTION: A 2-month-old male infant, pre...

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Detalles Bibliográficos
Autores principales: Colleti, José, Koga, Walter, de Carvalho, Werther Brunow
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Sociedade de Pediatria de São Paulo 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5849368/
https://www.ncbi.nlm.nih.gov/pubmed/28977137
http://dx.doi.org/10.1590/1984-0462/;2018;36;1;00003
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author Colleti, José
Koga, Walter
de Carvalho, Werther Brunow
author_facet Colleti, José
Koga, Walter
de Carvalho, Werther Brunow
author_sort Colleti, José
collection PubMed
description OBJECTIVE: To report a rare case of dorsal brainstem syndrome in an infant after hypoxic-ischemic episode due to severe sepsis and the use of neurally adjusted ventilatory assist (NAVA) to aid in diagnosis and in the removal of mechanical ventilation. CASE DESCRIPTION: A 2-month-old male infant, previously healthy, presented with severe sepsis that evolved to dorsal brainstem syndrome, which usually occurs after hypoxic-ischemic injury in neonates and infants, and is related to very specific magnetic resonance images. Due to neurological lesions, thei nfant remained in mechanical ventilation. A NAVA module was installed to keep track of phrenic nerve conduction to the diaphragm, having successfully showed neural conduction and helped removing mechanical ventilation. COMMENTS: Dorsal brainstem syndrome is a rare condition that should be considered after hypoxic-ischemic episode in infants.
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spelling pubmed-58493682018-03-16 DORSAL BRAINSTEM SYNDROME AND THE USE OF NEURALLY ADJUSTED VENTILATORY ASSIST (NAVA) IN AN INFANT Colleti, José Koga, Walter de Carvalho, Werther Brunow Rev Paul Pediatr Relatos de Caso OBJECTIVE: To report a rare case of dorsal brainstem syndrome in an infant after hypoxic-ischemic episode due to severe sepsis and the use of neurally adjusted ventilatory assist (NAVA) to aid in diagnosis and in the removal of mechanical ventilation. CASE DESCRIPTION: A 2-month-old male infant, previously healthy, presented with severe sepsis that evolved to dorsal brainstem syndrome, which usually occurs after hypoxic-ischemic injury in neonates and infants, and is related to very specific magnetic resonance images. Due to neurological lesions, thei nfant remained in mechanical ventilation. A NAVA module was installed to keep track of phrenic nerve conduction to the diaphragm, having successfully showed neural conduction and helped removing mechanical ventilation. COMMENTS: Dorsal brainstem syndrome is a rare condition that should be considered after hypoxic-ischemic episode in infants. Sociedade de Pediatria de São Paulo 2017-09-21 2018 /pmc/articles/PMC5849368/ /pubmed/28977137 http://dx.doi.org/10.1590/1984-0462/;2018;36;1;00003 Text en http://creativecommons.org/licenses/by/4.0/ Este é um artigo publicado em acesso aberto sob uma licença Creative Commons
spellingShingle Relatos de Caso
Colleti, José
Koga, Walter
de Carvalho, Werther Brunow
DORSAL BRAINSTEM SYNDROME AND THE USE OF NEURALLY ADJUSTED VENTILATORY ASSIST (NAVA) IN AN INFANT
title DORSAL BRAINSTEM SYNDROME AND THE USE OF NEURALLY ADJUSTED VENTILATORY ASSIST (NAVA) IN AN INFANT
title_full DORSAL BRAINSTEM SYNDROME AND THE USE OF NEURALLY ADJUSTED VENTILATORY ASSIST (NAVA) IN AN INFANT
title_fullStr DORSAL BRAINSTEM SYNDROME AND THE USE OF NEURALLY ADJUSTED VENTILATORY ASSIST (NAVA) IN AN INFANT
title_full_unstemmed DORSAL BRAINSTEM SYNDROME AND THE USE OF NEURALLY ADJUSTED VENTILATORY ASSIST (NAVA) IN AN INFANT
title_short DORSAL BRAINSTEM SYNDROME AND THE USE OF NEURALLY ADJUSTED VENTILATORY ASSIST (NAVA) IN AN INFANT
title_sort dorsal brainstem syndrome and the use of neurally adjusted ventilatory assist (nava) in an infant
topic Relatos de Caso
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5849368/
https://www.ncbi.nlm.nih.gov/pubmed/28977137
http://dx.doi.org/10.1590/1984-0462/;2018;36;1;00003
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