scholarly journals Prone Position as a Life-saving Measure for Acute Pulmonary Haemorrhage in a Young Adult with Cystic Fibrosis

2002 ◽  
Vol 30 (2) ◽  
pp. 223-225 ◽  
Author(s):  
R. Savage
Keyword(s):  
Cystic Fibrosis ◽  
Positive Pressure Ventilation ◽  
Rare Complication ◽  
Anaesthetic Techniques ◽  
Pulmonary Haemorrhage ◽  
Positive Pressure ◽  
Successful Management ◽  
Life Saving ◽  
Life Threatening ◽  
Saving Measure

Fatal pulmonary haemorrhage is a rare complication of cystic fibrosis. A case of unexpected life-threatening pulmonary haemorrhage is presented, and the successful management of this problem including immediate prone ventilation. Different anaesthetic techniques, avoiding endotracheal intubation and positive pressure ventilation, which may avoid similar complications, are described.

scholarly journals Non-Cardiogenic Pulmonary Oedema Following the Use of Gadolinium-Based Contrast Medium: A Case Report

2020 ◽  
Vol 6 (3) ◽  
pp. 181-185
Author(s):  
Chilan Nguyen ◽  
Tho Pham
Keyword(s):  
Pulmonary Oedema ◽  
Positive Pressure Ventilation ◽  
Rare Complication ◽  
Positive Pressure ◽  
Cardiogenic Pulmonary Oedema ◽  
Contrast Administration ◽  
Prompt Treatment ◽  
Appropriate Treatment ◽  
Life Threatening ◽  
Life Threatening Complication

AbstractNon-cardiogenic pulmonary oedema can be life threatening and requires prompt treatment. While gadolinium-based contrast is generally considered safe with a low risk of severe side effects, non-cardiogenic pulmonary oedema has become increasingly recognised as a rare, but possibly life-threatening complication. We present a case of a usually well, young 23-year-old female who developed non-cardiogenic pulmonary oedema with a moderate oxygenation impairment and no mucosal or cutaneous features of anaphylaxis following the administration of gadolinium-based contrast. She did not respond to treatment of anaphylaxis but made a rapid recovery following the commencement of positive pressure ventilation. Our case highlights the importance of recognising the rare complication of non-cardiogenic pulmonary oedema following gadolinium-based contrast administration in order to promptly implement the appropriate treatment.

scholarly journals Pregnancy Assisted by Nasal Intermittent Positive Pressure Ventilation in a Patient with Cystic Fibrosis

1997 ◽  
Vol 90 (4) ◽  
pp. 222-223 ◽  
Author(s):  
Janet A Butler ◽  
Louise J Restrick ◽  
Glenda M Esmond ◽  
Christine Mickelsons ◽  
Duncan W Empey
Keyword(s):  
Cystic Fibrosis ◽  
Positive Pressure Ventilation ◽  
Intermittent Positive Pressure Ventilation ◽  
Positive Pressure

scholarly journals Peripartum cardiomyopathy: a rare complication in a teenage pregnancy

2021 ◽  
Vol 10 (7) ◽  
pp. 2854
Author(s):  
Uma Chourasia ◽  
Jyoti Nath Modi
Keyword(s):  
Multidisciplinary Team ◽  
Teenage Pregnancy ◽  
Rare Complication ◽  
Clinical Findings ◽  
Peripartum Cardiomyopathy ◽  
Team Approach ◽  
Successful Management ◽  
Emergency Cesarean ◽  
Life Threatening ◽  
High Index Of Suspicion

The aim of this case report was to present a rare case of peripartum cardiomyopathy (PPCM) in an adolescent primigravida, and discuss its presentation and successful management. PPCM is a relatively rare yet life threatening cardiac complication of pregnancy. It often remains undiagnosed as its symptoms may simulate the physiological symptoms of pregnancy and peripartum period. An early diagnosis is crucial for improving survival. We herein report an unusual case of PPCM in an young and otherwise healthy primigravida. A 19-year-old primigravida presented at 33 weeks of gestation with, severe pre-eclampsia with dyspnea, cough and discomfort in the chest. Based on clinical findings and ECG, the echocardiography was done, and a definitive diagnosis of PPCM was made. The patient was managed for heart failure and preeclampsia by a multidisciplinary team. Emergency cesarean was done for obstetric indication and patient was managed conservatively in intensive care unit. Patient improved clinically and was discharged at day 10. Peripartum cardiomyopathy though typically associates with advanced maternal age can occur in very young women as well. A high index of suspicion for PPCM is recommended on a background of `severe preeclampsia with breathlessness. Timely echocardiography for diagnosis, and a multidisciplinary team approach are a key to successful management. Clinical significance of the study was to shed new light on the unusual presentation of PPCM and to contribute to the existing knowledge of PPCM.

scholarly journals Diaphragm dysfunction (paralysis) in a cystic fibrosis patient

2021 ◽  
Author(s):  
Muhammad Zubair Khan ◽  
◽  
Nauman Chaudary ◽  
Aida Abraham ◽  
Kirtenkumar Patel ◽  
...  
Keyword(s):  
Cystic Fibrosis ◽  
Cystic Fibrosis Patient ◽  
Airway Pressure ◽  
Positive Pressure Ventilation ◽  
Positive Airway Pressure ◽  
Intermittent Positive Pressure Ventilation ◽  
Diaphragmatic Paralysis ◽  
Positive Pressure ◽  
Diaphragm Dysfunction ◽  
Nocturnal Hypoventilation

Diaphragmatic paralysis (DP) is a rare disease and usually occurs secondary to systemic processes, although idiopathic forms have been described. Management of diaphragmatic paralysis depends on multiple factors, including the etiology, presence, or absence of symptoms, and more importantly, the presence of nocturnal hypoventilation. DP has been described in both unilateral and bilateral forms. In unilateral DP, most patients are asymptomatic and often do not require intervention. Symptomatic patients with unilateral DP, however, will require plication. In bilateral DP, phrenic nerve pacing or nasal continuous positive airway pressure, bilateral positive airway pressure (CPAP BiPAP), or intermittent positive pressure ventilation by the nasal or oral mask is recommended. We describe a case of unilateral DP in a cystic fibrosis patient treated by surgical plication.

scholarly journals Respiratory Management of Acute Cardiogenic Pulmonary Edema: A Review

2020 ◽  
Author(s):  
Khosro Barkhordari ◽  
Zahid Hussain Khan ◽  
Akbar Shafiee
Keyword(s):  
Pulmonary Edema ◽  
Positive Pressure Ventilation ◽  
Noninvasive Positive Pressure Ventilation ◽  
Cardiogenic Pulmonary Edema ◽  
Positive Pressure ◽  
Acute Cardiogenic Pulmonary Edema ◽  
Respiratory Management ◽  
Threatening Condition ◽  
Ventilator Management ◽  
Life Threatening

Acute cardiogenic pulmonary edema (ACPE) is a common and life-threatening condition among patients with heart failure. The literature contains a large number of reviews discussing the respiratory management aspect of this entity; nonetheless, none of these studies has thoroughly probed into the respiratory management of different cardiac pathologies ending with ACPE, together with the different modes of ventilation and invasive and noninvasive ventilation in the same discussion. The present review seeks to discuss the physiologic bases of lung-heart interactions, the hemodynamic effects of positive pressure ventilation, and the results of studies on the effects of the various modes of ventilation having been used until the writing of this article. Also discussed herein are ACPE in different heart pathologies and their respective ventilator management, as well as the indications, complications, and contraindications of noninvasive positive pressure ventilation and intermittent mandatory ventilation.

scholarly journals Diaphragm Dysfunction (Paralysis) in a Cystic Fibrosis Patient

2021 ◽  
Vol 8 (1) ◽  
Author(s):  
Zubair Khan M ◽  
◽  
Chaudary N ◽  
Abraham A ◽  
Patel K ◽  
...  
Keyword(s):  
Cystic Fibrosis ◽  
Cystic Fibrosis Patient ◽  
Airway Pressure ◽  
Positive Pressure Ventilation ◽  
Positive Airway Pressure ◽  
Intermittent Positive Pressure Ventilation ◽  
Diaphragmatic Paralysis ◽  
Positive Pressure ◽  
Diaphragm Dysfunction ◽  
Nocturnal Hypoventilation

Diaphragmatic Paralysis (DP) is a rare disease and usually occurs secondary to systemic processes, although idiopathic forms have been described. Management of diaphragmatic paralysis depends on multiple factors, including the etiology, presence, or absence of symptoms, and more importantly, the presence of nocturnal hypoventilation. DP has been described in both unilateral and bilateral forms. In unilateral DP, most patients are asymptomatic and often do not require intervention. Symptomatic patients with unilateral DP, however, will require plication. In bilateral DP, phrenic nerve pacing or nasal Continuous Positive Airway Pressure, Bilateral Positive Airway Pressure (CPAP BiPAP), or intermittent positive pressure ventilation by the nasal or oral mask is recommended. We describe a case of unilateral DP in a cystic fibrosis patient treated by surgical plication.

Successful management of drug-induced hypercapnic acidosis with naloxone and noninvasive positive pressure ventilation

2015 ◽  
Vol 33 (2) ◽  
pp. 312.e3-312.e4 ◽  
Author(s):  
Michalis Agrafiotis ◽  
Stavros Tryfon ◽  
Demetra Siopi ◽  
Georgia Chassapidou ◽  
Artemis Galanou ◽  
...  
Keyword(s):  
Positive Pressure Ventilation ◽  
Noninvasive Positive Pressure Ventilation ◽  
Positive Pressure ◽  
Hypercapnic Acidosis ◽  
Successful Management ◽  
Drug Induced
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