Decannulation process in a post-heart transplant child: a case report
Abstract
Introduction: In pediatrics, there are protocols with various specific strategies for decannulation, implemented by each institution, such as tube downsizing, cannula occlusion, and airway exploration. However, to date, no decannulation protocol details how to perform this procedure. The objective of this report was to describe the decannulation process in a post-heart transplant child in an intermediate care unit of a public pediatric hospital.
Case presentation: A 13-year-old patient, with no history of prior pathologies, was admitted from the pediatric intensive care unit to the intermediate care unit, with a tracheostomy, after undergoing an emergency heart transplant. The decannulation process was performed through various strategies, such as cannula occlusion, tube downsizing, and the implementation of respiratory and global muscle-strengthening exercises, as the patient had intensive care unit-acquired weakness.
Conclusion: The decannulation process in a post-heart transplant child was described, resulting in a favorable outcome. This is one of the first cases to report the use of respiratory and global muscle-strengthening exercises as part of a decannulation process.
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