%0 Journal Article %1 Mizuno2004 %A Mizuno, Yuji %A Takamatsu, Miki %A Hikino, Kouko %D 2004 %J No To Hattatsu %K Adolescent; Adult; Atelectasis; Bronchoscopy; Cerebral Palsy; Child; Child, Preschool; Disabled Children; Persons; Female; Humans; Male; Mental Retardation; Pneumonia; Respiration Disorders %N 4 %P 304--310 %T Etiology and bronchofiberscopic treatment of pulmonary atelectasis in patients with severe motor and intellectual disabilities %V 36 %X Atelectasis is a common respiratory complication in patients with severe motor and intellectual disabilities. We encountered 3 patients with irreversible atelectasis due to delayed therapy, emphasizing the necessity of performing flexible bronchofiberscopy. A total of 21 patients with atelectasis were studied to assess the etiology and efficacy of bronchofiberscopy. The underlying condition was bronchitis/pneumonia in 19 cases, tracheal hemorrhage in 1, and lung cancer in 1. Most of the patients had predisposing factors, such as a bedridden status in 90\% and a weak or absent cough reflex in 81\%. It was statistically suggested that atelectasis is likely to occur on the side contralateral to thoracic scoliosis. Among the 18 patients who underwent bronchofiberscopy within 2 weeks after the diagnosis of atelectasis, 16 (89\%) showed recanalization and resultant improvement of respiratory failure. Bronchofiberscopy is useful for treating atelectasis in patients with severe motor and intellectual disabilities.

@article{Mizuno2004, abstract = {Atelectasis is a common respiratory complication in patients with severe motor and intellectual disabilities. We encountered 3 patients with irreversible atelectasis due to delayed therapy, emphasizing the necessity of performing flexible bronchofiberscopy. A total of 21 patients with atelectasis were studied to assess the etiology and efficacy of bronchofiberscopy. The underlying condition was bronchitis/pneumonia in 19 cases, tracheal hemorrhage in 1, and lung cancer in 1. Most of the patients had predisposing factors, such as a bedridden status in 90\% and a weak or absent cough reflex in 81\%. It was statistically suggested that atelectasis is likely to occur on the side contralateral to thoracic scoliosis. Among the 18 patients who underwent bronchofiberscopy within 2 weeks after the diagnosis of atelectasis, 16 (89\%) showed recanalization and resultant improvement of respiratory failure. Bronchofiberscopy is useful for treating atelectasis in patients with severe motor and intellectual disabilities.}, added-at = {2014-07-19T20:48:24.000+0200}, author = {Mizuno, Yuji and Takamatsu, Miki and Hikino, Kouko}, biburl = {https://www.bibsonomy.org/bibtex/2d67485110a5c0554ca47b0666964cb33/ar0berts}, groups = {public}, interhash = {8641e298d14c6e523e66cee0a5d2955e}, intrahash = {d67485110a5c0554ca47b0666964cb33}, journal = {No To Hattatsu}, keywords = {Adolescent; Adult; Atelectasis; Bronchoscopy; Cerebral Palsy; Child; Child, Preschool; Disabled Children; Persons; Female; Humans; Male; Mental Retardation; Pneumonia; Respiration Disorders}, month = Jul, number = 4, pages = {304--310}, pmid = {15272614}, timestamp = {2014-07-19T20:48:24.000+0200}, title = {[Etiology and bronchofiberscopic treatment of pulmonary atelectasis in patients with severe motor and intellectual disabilities]}, username = {ar0berts}, volume = 36, year = 2004 }