A rapid decrease in pulmonary arterial pressure by noninvasive positive pressure ventilation in a patient with chronic obstructive pulmonary disease

2007 ◽  
Vol 11 (2) ◽  
pp. 90-92
Author(s):  
Nese Dursunoglu ◽  
Dursun Dursunoglu* ◽  
Aylin Moray ◽  
Sukru Gur* ◽  
Murat Kavas
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Arterial Pressure ◽  
Positive Pressure Ventilation ◽  
Pulmonary Arterial Pressure ◽  
Noninvasive Positive Pressure Ventilation ◽  
Rapid Decrease ◽  
Positive Pressure ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Pulmonary Arterial

scholarly journals Hemopneumothorax in a COPD Patient Treated with Noninvasive Positive Pressure Ventilation: The Risk of Attendant Anticoagulation

2004 ◽  
Vol 11 (2) ◽  
pp. 159-162 ◽  
Author(s):  
R Raghavan ◽  
AK Ellis ◽  
W Wobeser ◽  
KB Sutherland ◽  
DE O'Donnell
Keyword(s):  
Chronic Obstructive Pulmonary Disease ◽  
Positive Pressure Ventilation ◽  
Work Of Breathing ◽  
Noninvasive Positive Pressure Ventilation ◽  
Air Embolism ◽  
Gastric Distension ◽  
Positive Pressure ◽  
Chronic Obstructive ◽  
Obstructive Pulmonary Disease ◽  
Severe Copd

Noninvasive positive pressure ventilation (NIPPV) modalities have been proven to be effective in the setting of exacerbations of chronic obstructive pulmonary disease (COPD). Reported complications include pneumothorax, increased work of breathing, gastric distension and air embolism. This case demonstrates that patients with severe COPD on anticoagulant therapy are potentially at risk for the serious complication of combined lung barotrauma and hemorrhage while on acute NIPPV therapy. This is the first reported case of hemopneumothorax complicating NIPPV therapy.

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