Article in Japanese

Efficacy of biphasic cuirass ventilation for plastic bronchitis due to influenza virus type A (H1N1) pdm09 infection

Shotaro NOZAKI¹⁾, Hiroyuki OIKAWA¹⁾, Goro KOINUMA^1,2), Masayoshi SHINJOH¹⁾, Chiharu KAWAKAMI³⁾, Takao TAKAHASHI¹⁾

Plastic bronchitis (PB) is a disease in which mucous plugs obstruct the airways and cause respiratory failure. The standard treatment for PB is removing the mucous plugs with a rigid bronchoscope, but this is often difficult. This study reported an 8-year-old girl who developed PB due to influenza virus type A(H1N1)pdm09 infection, and the removal of mucous plugs was successful following biphasic cuirass ventilation (BCV). It is thought that patency of the central airway and effective coughing were the reasons why the mucous plugs could be removed. If such conditions are satisfactory, BCV may be an effective way for removing mucous plugs.

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1) Department of Pediatrics, Keio University School of Medicine
2) Division of Pulmonology, Department of Medical Subspecialties, National Center for Child Health and Development
3) Department of Microbiological Testing and Research, Yokohama City Institute of Public Health

Key words	plastic bronchitis, biphasic cuirass ventilation, A (H1N1) pdm09
Received	October 31, 2019
Accepted	February 6, 2020

32 (2)：122─127,2020