scholarly journals Bilevel positive airway pressure in tracheobronchomalacia

2021 ◽  
Vol 14 (10) ◽  
pp. e246331
Author(s):  
Nambron Prathyush Pradeep ◽  
Irfan Ismail Ayub ◽  
Madhavan Krishnaswamy ◽  
Gokulakrishnan Periakaruppan
2014 ◽  
Vol 11 (3) ◽  
pp. 283-294 ◽  
Author(s):  
Meghna P Mansukhani ◽  
Bhanu Prakash Kolla ◽  
Eric J Olson ◽  
Kannan Ramar ◽  
Timothy I Morgenthaler

2019 ◽  
Vol 65 (9) ◽  
pp. 1161-1167
Author(s):  
Eli Maria Pazzianotto-Forti ◽  
Letícia Baltieri ◽  
Patrícia Brigatto ◽  
Carolina Moraes da Costa ◽  
Maura Rigoldi Simões da Rocha ◽  
...  

SUMMARY OBJECTIVE To investigate the use of Bilevel Positive Airway Pressure (BiPAP) in morbidly obese individuals in two moments following bariatric surgery (Roux-en-Y gastric bypass): post-anesthetic recovery (PAR) and first postoperative day (1PO). DESIGN Randomized and blinded clinical trial. METHODS We studied 40 morbidly obese individuals aged between 25 and 55 years who underwent pulmonary function test and chest X-ray preoperatively, and on the day of discharge (2nd day after surgery). They were randomly allocated into two groups: PAR-G (BiPAP in PAR for one hour), and 1PO-G (BIPAP for one hour on the 1PO). RESULTS In the PAR-G and 1PO-G, respectively there were significant reductions in slow vital capacity (SVC) (p=0.0007 vs. p<0.0001), inspiratory reserve volume (IRV) (p=0.0016 vs. p=0.0026), and forced vital capacity (FVC) (p=0.0013 vs. p<0.0001) and expiratory reserve volume (ERV) was maintained only for the PAR-G (p=0.4446 vs. p=0.0191). Comparing the groups, the SVC (p=0.0027) and FVC (p=0.0028) showed a significant difference between the treatments, while the PAR-G showed smaller declines in these capacities. The prevalence of atelectasis was 10% for the PAR-G and 30% for the 1PO-G (p=0.0027). CONCLUSION Thus, the use of BiPAP in PAR can promote restoration of ERV and contribute to the reduction of atelectasis.


2017 ◽  
Vol 2017 ◽  
pp. 1-2
Author(s):  
Pragya Punj ◽  
Premkumar Nattanmai ◽  
Pravin George ◽  
Christopher R. Newey

Postextubation stridor is associated with significant morbidity. It commonly results in extubation failure after established medical treatment fails, such as nebulized epinephrine and/or intravenous steroids. The role of heliox (i.e., combination of helium and oxygen) in managing patients with postextubation stridor has not been fully established. We report two cases of postextubation stridor successfully treated with heliox delivered with bilevel positive airway pressure (BiPAP) after failure of standard medical therapy.


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