2014, Number 3
Long-lasting mechanical ventilation due to degenerative neurological disease
Language: Spanish
References: 7
Page: 394-400
PDF size: 88.63 Kb.
ABSTRACT
A sixty-seven years old male Caucasian patient with a history of blood hypertension and chronic gastritis was admitted to the medicine ward of the military hospital in Holguin in August 2011. The diagnosis was acute chronic gastritis. Prior to hospitalization, he presented with distal weakness in the left lower limb and affecting disorders. He suffered respiratory arrest at the hospital ward and was then transferred to the intensive care unit where he was kept mechanically ventilated. Few respiratory infections attacked him, so the majority have evolved satisfactorily thanks to oral antibiotic treatment. The immunological, imaging and biochemical studies yielded negative results. The physical examination of the neurological condition showed symptoms related to a neuromuscular condition. A literature review about this topic was made in which it was determined that the long-lasting mechanical ventilation is related in this case to degenerative neurological disease, in this case modified amyotrophic lateral sclerosis.REFERENCES
López Gómez, J, Ballesteros Pomar D, Vázquez Sánchez F, Vidal Casariego A., Calleja Fernández Y, Cano Rodríguez I. Efecto del soporte nutricional sobre la supervivencia en pacientes con esclerosis lateral amiotrófica. Nutr Hosp [Internet]. 2011 [citado 2 abr 2013];26(3):515-21. Disponible en: http://scielo.isciii.es/pdf/nh/v26n3/13_original_09.pdf
Ramírez Puerta R, Yuste Ossorio E, Narbona Galdó S, Pérez Izquierdo N, Peñas Maldonado L. Esclerosis lateral amiotrófica; complicaciones gastrointestinales en nutrición enteral domiciliaria. Nutrición Hospitalaria [Internet]. 2013 [citado 2 abr 2013];28(6).Disponible en: http://www.aulamedica.es/gdcr/index.php/nh/article/view/6630
Mayoralas Alises S, Díaz Lobato S, Fernández Aceñero M, Pérez Rodríguez E. Factores que influyen en la decanulación de pacientes que requieren ventilación mecánica por traqueotomía. Resultados de un protocolo de decanulación basado en ventilación mecánica no invasiva. Rev Patol Resp [Internet]. 2012 [citado 2 abr 2013];15(2):45-53. Disponible en: http://www.sciencedirect.com/science/article/pii/S1576989512701406
Radunovic A, Djillali A, Muhammad R, Naveed M. Mechanical ventilation for amyotrophic lateral sclerosis motor neuron disease. Cochrane Database of Systematic Reviews [Internet]. 2013 [cited 2013 Abr 2];3. Disponible en: http://onlinelibrary.wiley.com/doi/10.1002/14651858.CD004427.pub3/pdf Revista Cubana de Medicina Militar 2014;43(3):394-400 - http://scielo.sld.cu 400