Caso clinico
Pubblicato: 2024-11-13

EFA and other airway clearance techniques in a myasthenic crisis

Centro Clinico NeMO Napoli, Ospedale Monaldi, Napoli, Italia
Centro Clinico NeMO Napoli, Ospedale Monaldi, Napoli, Italia
Centro Clinico NeMO Napoli, Ospedale Monaldi, Napoli, Italia
Centro Clinico NeMO Napoli, Ospedale Monaldi, Napoli, Italia
Centro Clinico NeMO Napoli, Ospedale Monaldi, Napoli, Italia
myasthenia airway clearance techniques, expiratory flow accelerator myasthenic crisis

Abstract

A patient affected by myasthenia gravis and bronchiectasis,complicated by a myasthenic crisis, undergoes airway clearance therapy to improve an ab ingests pneumonia and manage secretions clearance; the patient in respiratory distress was treated with non-invasive ventilation (NIV) throughout the day, necessitated by deteriorating spirometric values and peripheral oxygen saturation levels.
A comprehensive multidisciplinary evaluation revealed ineffective cough and dysphagia, prompting the initiation of a combined therapeutic approach of FREE aspire device, mechanical In-Exsufflator (MI-E) and Continuous positive airway pressure (CPAP). The outcomes measured included chest computed tomography (CT) scan, Forced expiratory volume in one second (FEV1), Forced vital capacity (FVC) and Peak cough expiratory flow (PCEF) and patient-reported satisfaction with visual analogue scale (VAS).

Affiliazioni

Sabrina Gentile

Centro Clinico NeMO Napoli, Ospedale Monaldi, Napoli, Italia

Salvatore Dongiovanni

Centro Clinico NeMO Napoli, Ospedale Monaldi, Napoli, Italia

Gennaro Calafiore

Centro Clinico NeMO Napoli, Ospedale Monaldi, Napoli, Italia

Tommaso Romano

Centro Clinico NeMO Napoli, Ospedale Monaldi, Napoli, Italia

Jessica Imparato

Centro Clinico NeMO Napoli, Ospedale Monaldi, Napoli, Italia

Copyright

© Associazione Italiana Pneumologi Ospedalieri – Italian Thoracic Society (AIPO – ITS) , 2024

Come citare

Gentile, S., Dongiovanni, S., Calafiore, G., Romano, T., & Imparato, J. (2024). EFA and other airway clearance techniques in a myasthenic crisis. Rassegna Di Patologia dell’Apparato Respiratorio, 39(3), 145-150. Recuperato da https://www.aiporassegna.it/article/view/737
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