Resolution of obstructive atelectasis with non-invasive mechanical ventilation.
Arch Bronconeumol
; 50(10): 452-3, 2014 Oct.
Article
em En, Es
| MEDLINE
| ID: mdl-24411928
ABSTRACT
Bronchoscopy is a commonly used technique in patients with atelectasis due to mucus plugs. We present here the case of an 82-year-old patient with a history of Meige's syndrome who developed acute respiratory failure due to atelectasis of the right upper lobe associated with hospital-acquired pneumonia. The patient had a severely reduced level of consciousness, significant work-of-breathing and severe hypercapnic acidosis, all of which contraindicated bronchoscopy. Bi-level noninvasive mechanical ventilation (NIMV) was initiated by way of a face mask. Progress was favourable, with clear clinical and gasometric improvement. The chest X-ray performed 12hours later showed complete resolution of the atelectasis. These data suggest that NIMV may be useful in the treatment of atelectasis is some critical patients.
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Base de dados:
MEDLINE
Assunto principal:
Atelectasia Pulmonar
/
Ventilação não Invasiva
Idioma:
En
/
Es
Ano de publicação:
2014
Tipo de documento:
Article