TYK70: Difference between revisions
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All of the following are effective treatments for respiratory distress associated with tracheomalacia EXCEPT: | All of the following are effective treatments for respiratory distress associated with tracheomalacia EXCEPT: | ||
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D. Albuterol | D. Albuterol | ||
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==Answer== | ==Answer== | ||
The answer is D. Albuterol will usually make tracheomalacia worse. Infants with chondromalacia of the trachea or bronchus will usually present with noisy breathing and persistent "respiratory congestion" during infancy. If the respiratory distress is severe, intubation may be required. Intubation and positive pressure stent the collapsible central airways and improve air flow. Non-invasive ventilation (CPAP/BiPAP) will work in a similar manner. Because β-agonists act by relaxing smooth muscle they may exacerbate the symptoms. Ipratropium bromide appears to be an alternative efficacious therapy for symptomatic children with tracheomalacia and bronchomalacia. It is unclear why this works in some patients. | The answer is D. Albuterol will usually make tracheomalacia worse. Infants with chondromalacia of the trachea or bronchus will usually present with noisy breathing and persistent "respiratory congestion" during infancy. If the respiratory distress is severe, intubation may be required. Intubation and positive pressure stent the collapsible central airways and improve air flow. Non-invasive ventilation (CPAP/BiPAP) will work in a similar manner. Because β-agonists act by relaxing smooth muscle they may exacerbate the symptoms. Ipratropium bromide appears to be an alternative efficacious therapy for symptomatic children with tracheomalacia and bronchomalacia. It is unclear why this works in some patients. | ||
==Notes== | ==Notes== | ||
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==Keywords== | ==Keywords== | ||
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Latest revision as of 23:15, 23 January 2022
All of the following are effective treatments for respiratory distress associated with tracheomalacia EXCEPT:
A. Ipratropium bromide
B. Nasal CPAP/BIPAP
C. Tracheal intubation with positive pressure ventilation
D. Albuterol
Answer
The answer is D. Albuterol will usually make tracheomalacia worse. Infants with chondromalacia of the trachea or bronchus will usually present with noisy breathing and persistent "respiratory congestion" during infancy. If the respiratory distress is severe, intubation may be required. Intubation and positive pressure stent the collapsible central airways and improve air flow. Non-invasive ventilation (CPAP/BiPAP) will work in a similar manner. Because β-agonists act by relaxing smooth muscle they may exacerbate the symptoms. Ipratropium bromide appears to be an alternative efficacious therapy for symptomatic children with tracheomalacia and bronchomalacia. It is unclear why this works in some patients.
Notes