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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...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Sociedade de Pediatria de São Paulo
2017
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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. |
format | Online Article Text |
id | pubmed-5849368 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Sociedade de Pediatria de São Paulo |
record_format | MEDLINE/PubMed |
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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