Yung, Henry and Sharma, Keshav and Flowers, William and Marquette, Malcolm and Starace, Laura and Sander, Clare and Burnstein, Rowan and Herre, Jurgen (2020) Food for Thought: Dietary Intervention in a Rare Cause of Severe Ventilatory Failure. European Journal of Case Reports in Internal Medicine, 7 (5). ISSN 2284-2594
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Abstract
Plastic bronchitis is a rare condition characterised by endobronchial cast formation. We report the case of a 53-year-old women who deteriorated following an elective bronchoscopy procedure. She developed refractory ventilatory failure and required repeated bronchoscopy, which identified thick tenacious casts as the cause of her airway compromise. She did not respond to conventional therapies including endoscopic clearance, mucolytic therapy and nebulised tissue plasminogen activator (TPA). Total parenteral nutrition and a fat-free enteral diet were instituted while the patient was on extracorporeal membrane oxygenation (ECMO), which led to substantial improvement in her condition and demonstrated the importance of dietary strategies in this case.
| Item Type: | Article |
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| Uncontrolled Keywords: | Plastic bronchitis, bronchial casts, extracorporeal membrane oxygenation, asthma, mechanical ventilation |
| Subjects: | 600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 616 Malattie (classificare qui la Clinica medica, la medicina basata sull'evidenza, la Medicina interna, la Medicina sperimentale) |
| Depositing User: | Chiara D'Arpa |
| Date Deposited: | 24 Nov 2020 14:04 |
| Last Modified: | 24 Nov 2020 14:04 |
| URI: | http://eprints.bice.rm.cnr.it/id/eprint/20108 |
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