Pneumothorax as a complication of lung volume recruitment
| Autor: | Erik J.A. Westermann, Maurice Jans, Michael A. Gaytant, John R. Bach, Mike J. Kampelmacher |
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| Jazyk: | English<br />Portuguese |
| Rok vydání: | 2013 |
| Předmět: | |
| Zdroj: | Jornal Brasileiro de Pneumologia, Vol 39, Iss 3, Pp 382-386 (2013) |
| Druh dokumentu: | article |
| ISSN: | 1806-3756 1806-3713 |
| DOI: | 10.1590/S1806-37132013000300017 |
| Popis: | Lung volume recruitment involves deep inflation techniques to achieve maximum insufflation capacity in patients with respiratory muscle weakness, in order to increase peak cough flow, thus helping to maintain airway patency and improve ventilation. One of these techniques is air stacking, in which a manual resuscitator is used in order to inflate the lungs. Although intrathoracic pressures can rise considerably, there have been no reports of respiratory complications due to air stacking. However, reaching maximum insufflation capacity is not recommended in patients with known structural abnormalities of the lungs or chronic obstructive airway disease. We report the case of a 72-year-old woman who had poliomyelitis as a child, developed torsion scoliosis and post-polio syndrome, and had periodic but infrequent asthma attacks. After performing air stacking for 3 years, the patient suddenly developed a pneumothorax, indicating that this technique should be used with caution or not at all in patients with a known pulmonary pathology |
| Databáze: | Directory of Open Access Journals |
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