• Arch. Bronconeumol. · Oct 2014

    Case Reports

    Resolution of obstructive atelectasis with non-invasive mechanical ventilation.

    • Rosa Mirambeaux Villalona, Sagrario Mayoralas Alises, and Salvador Díaz Lobato.
    • Servicio de Neumología, Hospital Ramón y Cajal, Madrid, España. Electronic address: dra.rmmirambeauxv@gmail.com.
    • Arch. Bronconeumol. 2014 Oct 1; 50 (10): 452-3.

    AbstractBronchoscopy is a commonly used technique in patients with atelectasis due to mucus plugs. We present here the case of an 82-year-old patient with a history of Meige's syndrome who developed acute respiratory failure due to atelectasis of the right upper lobe associated with hospital-acquired pneumonia. The patient had a severely reduced level of consciousness, significant work-of-breathing and severe hypercapnic acidosis, all of which contraindicated bronchoscopy. Bi-level noninvasive mechanical ventilation (NIMV) was initiated by way of a face mask. Progress was favourable, with clear clinical and gasometric improvement. The chest X-ray performed 12hours later showed complete resolution of the atelectasis. These data suggest that NIMV may be useful in the treatment of atelectasis is some critical patients.Copyright © 2013 SEPAR. Published by Elsevier Espana. All rights reserved.

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