Pneumothorax in neuromuscular disease associated with lung volume recruitment and mechanical insufflation-exsufflation.
Respirol Case Rep
; 7(6): e00447, 2019 Aug.
Article
em En
| MEDLINE
| ID: mdl-31210952
ABSTRACT
A 25-year-old male with Duchenne muscular dystrophy and a 73-year-old male with motor neurone disease both presented with chest pain and increasing dyspnoea following routine mechanical insufflation-exsufflation or lung volume recruitment, on a background of long-term non-invasive ventilation. In each case, chest radiograph revealed a pneumothorax. In both cases the pneumothorax fully resolved following insertion of an intercostal catheter. There was no immediate recurrence and the patients were discharged home and ceased ongoing prophylactic respiratory therapy, although one person had recurrent pneumothoraces subsequently. This rare but serious complication highlights the need for careful risk/benefit analysis by clinicians prescribing these therapies.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Tipo de estudo:
Risk_factors_studies
Idioma:
En
Revista:
Respirol Case Rep
Ano de publicação:
2019
Tipo de documento:
Article