Muskuler Distrofiye Bağlı Solunum Yetmezlikli Olguda Yoğun Bakım

Yazarlar

Özet

Duchenne muskuler distrofi (DMD) tanılı 28 yaşında erkek hasta oral alım yetersizliği sonucu gelişen elektrolit imbalansı nedeni ile takip edildiği servisten solunum yetmezliği nedeni ile devralındı. Aspirasyon pnömonisi, kalp yetmezliği ve vasküler girişim komplikasyonları açısından takip edildi. Takibinde trakeostomi ve perkütan gastrostomi açıldı. Ev tipi mekanik ventilatör desteğinde evde bakım planı kurularak taburcu edildi.

 

A 28-year-old male patient diagnosed with Duchenne muscular dystrophy (DMD) was admitted to ICU (intensive care unit) due to respiratory failure from internal medicine service. He was followed up for aspiration pneumonia, heart failure. Tracheostomy and percutanous gastrostomy were performed. He was discharged to home with mechanical ventilator by planing home care.

Referanslar

Mercuri E, Muntoni F. Muscular dystrophies. The Lancet. 2013;381(9869):845–60.

Salari N, Fatahi B, Valipour E, et al. Orthop Surg Res. Global prevelance of Duchenne and Becker muscular dystrophy: a systematic review and meta-analysis. 2022; Feb 15;17(1):96.

Mah JK, Selby K, Campbell C, et al. A population-based study of dystrophin mutations in Canada. Can J Neurol Sci. 2011;38(3):465–74.

Hurvitz MS, Bhattacharjee R, Lesser DJ, et al. Determinants of usage and nonadherence to noninvasive ventilation in children and adults with Duchenne muscular dystrophy. J Clin Sleep Med. 2021; Oct 1;17(10):1973-1980.

Bach JR, Martinez D. Duchenne Muscular Dystrophy: Continuous Noninvasive Ventilatory Support Prolongs Survival. Respiratory Care. 2011; 56(6), 744–750.

Kang RS, Hutnik R, Kant I, et al. Retrograde Intubation Over a Flexible Fiber-Optic Bronchoscope. Anesth Prog. 2022 Apr 1;69(1):42-45.

Mota S, Germanova L, Cortesão J, et al. Anaesthetic Management in a Duchennne Muscle Dystrophy Patient for Treatment of Recurrent Pneumothorax. Rev Port Cir Cardiotorac Vasc. 2017;Jul-Dec;24(3-4):200.

Nathan A, Ganesh A, Godinez RI, et al. Hyperkalemic cardiac arrest after cardiopulmonary bypass in a child with unsuspected duchenne muscular dystrophy. Anesth Analg. 2005;100(3):672.

Brandom BW, Veyckemans F. Neuromuscular diseases in children: a practical approach. Paediatr Anaesth. 2013;23(9):765.

Saettele AK, Sharma A, Murray DJ. Case scenario: Hypotonia in infancy: anesthetic dilemma. Anesthesiology. 2013;119(2):443.

Pane M, Vasta I, Messina S, et al. Feeding problems and weight gain in Duchenne muscular dystrophy. European Journal of Paediatric Neurology. 2006; 10(5-6), 231–236.

Birnkrant DJ, Bushby K, Bann CM, et al. Diagnosis and management of Duchenne muscular dystrophy, part 1: diagnosis, and neuromuscular, rehabilitation, endocrine, and gastrointestinal and nutritional management. The Lancet Neurology. 2018;17(3), 251–267.

Kraus D, Wong BL, Horn PS, et al. Constipation in Duchenne Muscular Dystrophy: Prevalence, Diagnosis, and Treatment. The Journal of Pediatrics. 2016; 171, 183–188.

Nigro G, Comi LI, Politano L. et al. The incidence and evolution of cardiomyopathy in Duchenne muscular dystrophy. International Journal of Cardiology. 1990; 26(3), 271–277.

McNally EM. New Approaches in the Therapy of Cardiomyopathy in Muscular Dystrophy. Annual Review of Medicine. 2007; 58(1), 75–88.

Birnkrant DJ, Bushby K, Bann CM, et al. DMD Care Considerations Working Group. Diagnosis and management of Duchenne muscular dystrophy, part 3: primary care, emergency management, psychosocial care, and transitions of care across the lifespan. Lancet Neurol. 2018;17(5):445. Epub 2018 Feb 2.

Broomfield J, Hill M, Guglieri M, et al. Life Expectancy in Duchenne Muscular Dystrophy: Reproduced Individual Patient Data Meta-analysis. Neurology. 2021;97(23):e2304. Epub 2021 Oct 13.

Eagle M, Baudouin SV, Chandler C, et al. Survival in Duchenne muscular dystrophy: improvements in life expectancy since 1967 and the impact of home nocturnal ventilation. Neuromuscul Disord. 2002;12(10):926.

Sayfalar

361-368

Gelecek

24 Ocak 2025

Lisans

Lisans