Successful Treatment With Cpap of Two Infants With Bronchomalacia

Abstract

ABSTRACT. Two children with severe bronchial collapse secondary to bronchomalacia improved dramatically after institution of continuous positive airway pressure (CPAP). Treatment was discontinued after 14 weeks without reappearance of symptoms. Repeated bronchoscopy revealed a diminution in the bronchial collapsibility. It is suggested that CPAP should be given if generalised bronchomalacia is present to tide the children over a bad period while the bronchus is becoming more stable.

Drilling speaking valves: A modification to improve vocalization in tracheostomy dependent children

“…Anecdotal evidence suggests a role in treating severe tracheomalacia. Continuous positive airway pressure is a well‐accepted treatment modality for tracheomalacia 8–12. A postulated mechanism is attributed to “stenting” open the airway with the increased pressure 13.…”

Noninvasive treatment of bronchomalacia, successful ventilation of a severely ill infant

“…Some children with bronchomalacia have been successfully treated with CPAP either via tracheotomy or via a naso‐tracheal tube (1,2,12). NIVS has several advantages compared to tracheotomy or naso‐tracheal CPAP treatment.…”

“…This case report describes a different approach to treatment of a child with severe respiratory difficulties due to bronchomalacia. Papers previously published on this subject, present forms of treatment that are of a more invasive nature than the one described here (1–3). We want to address the concept of noninvasive mechanical ventilation support (NIVS) in infants and children with bronchomalacia.…”

Hip fracture and bone histomorphometry in a young adult with cystic fibrosis

“…Treatment includes removal of any predisposing factors, if practical. Medical treatment may be expectant, with consideration of respiratory support such as nasal continuous positive airway pressure or ventilation, particularly at night [27,28]. The diagnosis of bronchomalacia may not be easy, and, indeed, the flow/volume curves in the older children (see figure 2) might at first sight suggest that they had asthma after all.…”