Journal article
Use of botulinum toxin type A to avoid tracheal intubation or tracheostomy in severe paradoxical vocal cord movement.
- Maillard I Critical Care Division, Department of Internal Medicine, Centre Hospitalier Universitaire Vaudois, Lausanne, Switzerland.
- Schweizer V
- Broccard A
- Duscher A
- Liaudet L
- Schaller MD
- 2000-09-16
Published in:
- Chest. - 2000
Adult
Botulinum Toxins, Type A
Contraindications
Female
Humans
Intubation, Intratracheal
Laryngeal Diseases
Neuromuscular Agents
Respiratory Distress Syndrome, Adult
Tracheostomy
Vocal Cords
English
Paradoxical vocal cord movement (PVCM) is characterized by paradoxical adduction of the vocal cords during inspiration and/or expiration. Patients with severe forms of PVCM can present with acute dyspnea. In this article, we describe a patient with severe PVCM who had required tracheal intubation or tracheostomy at multiple occasions and who presented with acute hypercapnic respiratory failure. Using sedation and intralaryngeal injection of botulinum toxin type A, we could avoid more invasive intervention. Our observation shows that botulinum toxin type A should be considered in the acute care setting for severe PVCM.
- Language
-
- English
- Open access status
- closed
- Identifiers
-
- DOI 10.1378/chest.118.3.874
- PMID 10988221
- Persistent URL
- https://sonar.ch/global/documents/277839
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