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Plastic Bronchitis Research Paper

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Plastic Bronchitis
Melanie Contreras
Boise State University

Abstract
Plastic Bronchitis (PB) is a rare pathological disease which is characterized by the expectoration of bronchial casts. The bronchial casts obstruct the airway and cause life-threatening airway obstruction if undiagnosed and untreated. The mortality rate of plastic bronchitis is upwards of 50%. Due to its rarity, PB is hard to diagnose and has similar symptoms to other respiratory conditions. PB has been characterized into two parts; one is easier to treat while the other is not.

Plastic Bronchitis
Plastic bronchitis (PB) is a rare pathologic condition that has a high mortality rate of up to 50% (Lis et al., 2014). Plastic bronchitis …show more content…
There are two main approaches for treating a patient with plastic bronchitis. Treating the condition itself, and second is to treat the possible underlying cause. Bronchoscopy is the best way to alleviate symptoms by removing the buildup of casts within the airways. According to Idaho State University, bronchoscopy and lavage are considered the gold standard therapeutic technique (2014). Inhalation therapies are typically the initial approach, but are not usually successful. Inhaled medications such as bronchodilators, corticosteroids, acetylcysteine, dornase alpha, and tPA have all been used for treatment while each yielding various degrees of success.
Plastic bronchitis is a rare and dangerous condition that causes severe respiratory distress, and yields a high morbidity. The diagnoses is difficult in that it can mimic other respiratory conditions, and ultimately mistreated. To date the biggest hurdle is the lack of knowledge and understanding of plastic bronchitis. Healthcare providers need to stay abreast of the literature and symptoms of plastic bronchitis for proper diagnosis and treatment. While medical technology, knowledge and treatments continue to be developed and improved, and plastic bronchitis can be accurately diagnosed and …show more content…
G., Stewart, R. D., Backer, C. L., Mavroudis, C., & Jacobs, M. L. (January 01, 2012). Plastic bronchitis in patients with fontan physiology: review of the literature and preliminary experience with fontan conversion and cardiac transplantation. World Journal for Pediatric & Congenital Heart Surgery, 3, 3, 364-72.
Parent, J. J., & Darragh, R. K. (August 23, 2014). Severe airway obstruction from a bronchial cast after cardiac transplantation. Cardiology in the Young, 24, 4, 739-740.
Plastic Bronchitis: A Worry No More. (2014, January 1). Retrieved March 4, 2015, from http://www.isu.edu/radsci/student_research14.shtml
Plastic Bronchitis. (2014, July 31). Retrieved March 8, 2015, from http://www.chop.edu/conditions-diseases/plastic-bronchitis#.VRtcx2pFAqM
Seear, M., Hui, H., Magee, F., Bohn, D., & Cutz, E. (1997). Bronchial casts in children: A proposed classification based on nine cases and a review of the literature. American Journal of Respiratory and Critical Care Medicine, 155(1), 364-370. Retrieved March 6, 2015, from http://www.atsjournals.org/doi/abs/10.1164/ajrccm.155.1.9001337?journalCode=ajrccm#.VRtbzvnF9ps
Schumacher, K. R., Singh, T. P., Kuebler, J., Aprile, K., O'Brien, M., & Blume, E. D. (January 01, 2014). Risk factors and outcome of Fontan-associated plastic bronchitis: a case-control study. Journal of the American Heart Association, 3,

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