Araujo-Vázquez M, Romero-Caro F, Lafuente-Ojeda N

Language: Spanish
References: 25
Page: 303-307
PDF size: 233.39 Kb.

ABSTRACT

Steinert disease is more common in adult myotonic disease. We present the case of a 53 years old male patient with Steiner disease that was programmed to perform total thyroidectomy for multinodular goiter with endothoracic extension. After finishing the surgical act without extubation incidents, one proceeded to his movement to the unit of Resuscitation, where he presented progressive fall of the saturation of oxygen and clinic of respiratory difficulty, showing atelectasia of the average right lobe in the X-ray of torax and information gasometrics of respiratory insufficiency. After fibrobroncoscopy with aspiration of stopper of snot is decided to apply mechanical ventilation non-invasive in BIPAP mode. Clinical improvement being observed and therefore, there were not necessary invasive maneuvers such as orotracheal intubacion.

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