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- Title
Challenges of physiotherapy service on a patient with cystic fibrosis and severe pulmonary exacerbation and put on extracorporeal membrane oxygenation: A case report.
- Authors
Raphael Chan, Mei Yee; Wai Wai Hui; Lam, Joanna; Leung, Karen K. Y.
- Abstract
A 14-year-old male with cystic fibrosis (CF) and severe pulmonary exacerbation was put on venovenous extracorporeal membrane oxygenation (VV-ECMO) and mechanical ventilator. This case report is to share the challenges and vigilant care on service delivery of physiotherapy services faced and gone through at a pediatric intensive care unit of a quaternary care children's hospital. Sputum clearance technique was provided in the coexistence of VV-ECMO and mechanical ventilator. Inspiratory muscle training and physical rehabilitation commenced at the phase of progressive weaning from noninvasive ventilation. The total intervention duration was 40 days; the lung sound and chest X-ray were cleared up, and the physical tolerance was improved to walking with light assistance. Airway clearance and physical rehabilitation in CF on VV-ECMO are achievable with alertness and alternatives with careful observance. Although ECMO may hinder the efficacy of sputum clearance, cautious and safe-guarded physiotherapy techniques can influence outcomes.
- Subjects
CYSTIC fibrosis treatment; LUNG disease treatment; PHYSICAL therapy; DISEASE exacerbation; EXTRACORPOREAL membrane oxygenation; THERAPEUTIC use of breathing exercises; VITAL capacity (Respiration); CHILDREN'S hospitals; PEDIATRICS; INTENSIVE care units; ARTIFICIAL respiration; FORCED expiratory volume; AIRWAY (Anatomy); RESPIRATORY muscles
- Publication
Journal of Pediatric Critical Care, 2024, Vol 11, Issue 2, p86
- ISSN
2349-6592
- Publication type
Article
- DOI
10.4103/jpcc.jpcc_6_24