2004 Volume 50 Issue 6 Pages 465-470
We described two cases introducing new resuscitative approach for aspiration pneumonia. Case 1: A 81-year-old man presented with a 5-year history of dysphagia due to spino-cerebellar degeneration. He was referred to our hospital because he got severe aspiration pneumonia. He had a difficulty in bronchial drainage by himself, therefore, he was introduced bronchial toilet under the assistance of NPPV. Lots of secretion, such as food and sputum, were removed. After taking rehabilitation, he could discharge at 58 days without tracheal intubation. Case 2: A 73-year-old man presented with a 8-year history of chronic obstructive pulmonary disease. He was referred to our hospital because he got severe aspiration pneumonia due to oral streptococcus. He could not discharge sputum well, and he was introduced bronchial toilet under the assistance of NPPV. Lots of secretion, which occluded both right and left bronchi, were removed. He could walk with oxygen at 12 days. We should consider fiberoptic bronchoscopy under the assistance of NPPV for patients who refuse tracheal intubation and who have high risk of secondary infection.
