Occurrence of pneumothorax during noninvasive positive pressure ventilation through a helmet

Carron, Michele; Gagliardi, Giuseppe; Michielan, F.; Freo, Ulderico; Ori, Carlo

doi:10.1016/j.jclinane.2007.04.010

Cited by 10 publications

(4 citation statements)

References 16 publications

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“…Barotrauma is a well-recognized complication of positive pressure ventilation. 88 The risk of barotrauma is very low during NIV and much lower than during IMV. 3 87 Barotrauma has been described in the presence of COPD, acute lung injury secondary to pneumonia, interstitial lung diseases, cystic fibrosis, and neuromuscular disorders.…”

Section: Barotraumamentioning

confidence: 99%

Complications of non-invasive ventilation techniques: a comprehensive qualitative review of randomized trials

Carron

Freo

BaHammam

et al. 2013

British Journal of Anaesthesia

231

172

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Non-invasive ventilation (NIV) has become a common treatment for acute and chronic respiratory failure. In comparison with conventional invasive mechanical ventilation, NIV has the advantages of reducing patient discomfort, procedural complications, and mortality. However, NIV is associated with frequent uncomfortable or even life-threatening adverse effects, and patients should be thoroughly screened beforehand to reduce potential severe complications. We performed a detailed review of the relevant medical literature for NIV complications. All major NIV complications are potentially life-threatening and can occur in any patient, but are strongly correlated with the degree of pulmonary and cardiovascular involvement. Minor complications can be related to specific structural features of NIV interfaces or to variable airflow patterns. This extensive review of the literature shows that careful selection of patients and interfaces, proper setting of ventilator modalities, and close monitoring of patients from the start can greatly reduce NIV complications.

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Section: Barotraumamentioning

confidence: 99%

Complications of non-invasive ventilation techniques: a comprehensive qualitative review of randomized trials

Carron

Freo

BaHammam

et al. 2013

British Journal of Anaesthesia

231

172

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“…), whose resolution is approached as in a standard FBO with prompt ETI availability (1,2). The rate of pneumothorax after TBLB is considerably higher during CMV than in spontaneously breathing patients (14,6 vs < 5%) (68,69). Conversely, we have no data about the rate of pneumothorax during NIMV-assisted TBLB.…”

Section: Practical Issuesmentioning

confidence: 81%

Noninvasive mechanical ventilation and bronchoscopy: advantages and limits of a synergistic strategy

Scala¹

2015

sob

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“…15 Even in the absence of bullae or blebs, is a known but rare complication of CPAP and other forms of non-invasive positive pressure ventilation (NPPV). [16][17][18] Five cases of pneumothorax related to NPPV for OSA were recently summarized by Rajdev et al 19 The duration of NPPV exposure prior to the pneumothoraces in these reports ranged from hours to years. 20 Although it is possible that the bullae were not related to the pneumothoraces observed in our patients, the colocation of the bullae and pneumothorax in the same lung suggests there may be an association between these entities.…”

Section: Discussionmentioning

confidence: 99%

Enlarging bullae and spontaneous pneumothorax associated with CPAP use: A case series of three patients

Navarrete-Welton,

Manzoor,

Minami

et al. 2024

JMV

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Objectives Spontaneous pneumothorax among patients with obstructive sleep apnea treated by nocturnal continuous positive airway pressure (CPAP) has not been well documented. Methods We present three cases of patients on chronic CPAP who experienced spontaneous pneumothorax without clear predisposing factors. Their personal and family medical histories, imaging characteristics, and CPAP settings are reviewed. Results In all three cases, the patients had bullae ipsilateral to the pneumothoraces that either formed (n = 1) or grew significantly (n = 2) after CPAP initiation. No other risk factors for pneumothorax or bullae were identified. Conclusions This case series demonstrates a need for further investigation into a possible connection between spontaneous pneumothorax, bullae development, and CPAP use. Keywords: obstructive sleep apnea, continuous positive airway pressure, bullae, complications of noninvasive mechanical ventilation, spontaneous pneumothorax

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Occurrence of pneumothorax during noninvasive positive pressure ventilation through a helmet

Cited by 10 publications

References 16 publications

Complications of non-invasive ventilation techniques: a comprehensive qualitative review of randomized trials

Complications of non-invasive ventilation techniques: a comprehensive qualitative review of randomized trials

Noninvasive mechanical ventilation and bronchoscopy: advantages and limits of a synergistic strategy

Enlarging bullae and spontaneous pneumothorax associated with CPAP use: A case series of three patients

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