Zakir ARSLAN, Gülşen ÇIĞSAR, Emsal AYDIN

Toplum Kaynaklı Pnömoniye Bağlı ARDS Gelişen Hastanın NİPBV ile Tedavisi: Olgu Sunumu

Giriş: Kronik obstrüktif akciğer hastalığının akut alevlenmelerinde ve kardiyak nedenli pulmoner ödem varlığında Non-invaziv pozitif basınçlı ventilasyonun (NİPBV) faydaları iyi tespit edilmesine karşın akut sıkıntılı solunum sendromunda (ARDS) NİPBV'nin rolü tartışmalıdır. Ancak son çalışmalarda başarı oranının arttığı gösterilmiştir. Olgu Sunumu: 38 yaşında bayan hasta, muhtemel viral enfeksiyon sonrası gelişen ciddi toplum kökenli pnömoniye (TKP) bağlı ARDS tanısıyla yoğun bakım ünitesinde yatırıldı. İnvaziv mekanik ventilasyon (İMV) gerekmesine rağmen İMV'a göre daha az komplikasyonları olan NİPBV ile başarılı bir şekilde tedavi edildi. Sonuç: NİPBV, yoğun bakım şartlarında ARDS tedavisi için, uygun antibiyoterapi ile birlikte, kas gücü yerinde ve bilinci açık hastalarda İMV'nin yan etkilerinden kaçınmak için alternatif olarak kullanılabilecek bir yöntem olabilir.

Anahtar Kelimeler:

ARDS, non-invazif pozitif basınçlı ventilasyon, toplum kökenli pnömoni

Treatment of a Patient with NPPV Who Developed ARDS Caused by Community- Acquired Pneumonia: A Case Report

Introduction: Although the benefits of noninvasive positivepressure ventilation (NPPV) in the presence of acute exacerbations of chronic obstructive pulmonary diseases and pulmonary edema of cardiac origin have been determined clearly, the role of NPPV is still controversial in acute respiratory distress syndrome (ARDS). However, recent studies have shown an increased rate of success.Case Report: A 38-year-old female patient with ARDS due to serious community-acquired pneumonia, which was probably caused by a viral infection, was hospitalized in the intensive care unit. The patient was treated successfully with NPPV, a less invasive technique, in spite of her need for invasive mechanical ventilation (IMV).Conclusion: NPPV accompanying appropriate antibiotics can be used as an alternative method for the treatment of ARDS in intensive care units for patients with normal muscle strength and are conscious to avoid the side effects of IMV

Keywords:

ARDS, noninvasive positive pressure ventilation, community acquired pneumonia,

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