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        "resumen" => "<span id="as0005" class="elsevierStyleSection elsevierViewall"><p id="sp0005" class="elsevierStyleSimplePara elsevierViewall">Two young boys with Duchenne muscular dystrophy&#44; who had contracted 2009 pandemic influenza A&#47;H1N1 &#40;pH1N1&#41;&#44; had been treated with antibiotics and steroids without significant improvement&#46; One of them showed severe scoliosis&#46; After hospitalization chest CT scan revealed extensive pulmonary bilateral segmental atelectasis&#46; Their clinical and radiological findings rapidly improved when a sequential respiratory physiotherapy protocol was adopted that consisted of the application of multiple sessions of high-frequency chest wall oscillations&#44; each one followed by mechanically assisted coughing manoeuvres&#46; The protocol was well tolerated&#44; effective&#44; easy to apply and special positioning was not required&#46; Fifteen days after treatment initiation both patients clinically recovered&#46; This treatment can be very helpful for neuromuscular patients&#44; particularly when scoliosis prevents conventional respiratory physiotherapy&#46;</p></span>"
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SÉRIE DE CASOS
High frequency chest wall oscillation plus Mechanical In-Exsufflation in Duchenne muscular dystrophy with respiratory complications related to pandemic Influenza A/H1N1
Oscilação de alta freqüência da parede torácica associado a in-exsuflação mecânica na distrofia muscular de Duchenne com complicações respiratórias relacionadas com o vírus pandémico da gripe A/H1N1
G. Crescimannoa,b, O. Marronea
a Italian National Research Council, Institute of Biomedicine and Molecular Immunology, Palermo, Italy
b First Unit of Pneumology, ‘V. Cervello’ Hospital, Palermo, Italy
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Article information
ISSN: 08732159
Original language: Portuguese
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