Ventila??o n?o-invasiva com press?o positiva (VNIPP) e insuficiência respiratória aguda no pós-operatório de escoliose idiopática: relato de caso

摘要

Objectives: Describe a case of a patient with 16 years old, in the postoperative one of artrodesis of thoracic spinal, that was submitted to the use of the noninvasive ventilation (NNIV) as to assist in the treatment of the acute respiratory failure (ARF). Methods: This account of retrospective case of a patient of the masculine sex of 16 years, that interned in April of 2005 in the Unit of intensive therapy of the Hospital S?o Lucas da Pontifícia Universidade Católica do Rio Grande do Sul (PUCRS). The variables had been collected of the records of the patient; the evolution of the case was analyzed on the basis of the accompaniment of the radiological examinations of thorax and the clinical signals (arterial gasometrical and vital signals). Results: With this study of case it was observed that the NNIV improved the hipoxemia, reduced the ventilatory effort, assisted in the radiological and gasometrical improvement of a patient of 16 years, of the masculine sex, in the postoperative one of artrodese of column. Conclusion: It was observed that the use of the NNIV for the treatment of the ARF in the postoperative one of artrodese of spinal helps in the handling of the are and past weaning days of the ventilation invasive mechanical (VIM).