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Severe pulmonary air-leakage associated with bi-level positive airway pressure

Francisco Miguel González Valverde, María Jesús Gómez Ramos, Miguel Ruiz Marín, Marcelino Méndez Martínez
  • Francisco Miguel González Valverde
    Surgery Department. Hospital General Universitario Reina Sofia de Murcia, Spain | migova@terra.es
  • María Jesús Gómez Ramos
    Department of Intensive Care Unit, Reina Sofia University General Hospital, University of Murcia, Spain
  • Miguel Ruiz Marín
    Department of Surgery, Reina Sofia University General Hospital, University of Murcia, Spain
  • Marcelino Méndez Martínez
    Departments of Surgery, Reina Sofia University General Hospital, University of Murcia, Spain

Abstract

The discovery of a severe pulmonary airleakage (PAL) associated with bi-level positive airway pressure (BiPAP) is a truly strange clinical finding, even for a very experienced specialist in pulmonary medicine. We present a woman who developed pneumomediastinum, pneumoperitoneum, retropneumoperitoneum and subcutaneous emphysema while being treated with BiPAP for hypoxic respiratory failure associated with pneumonia. The pulmonary barotrauma completely resolved after discontinuation of BiPAP. PAL following spontaneous BiPAP is benign and self-limited.

Keywords

barotrauma, bi-level positive airway pressure, pneumomediastinum, pneumoperitoneum, retropneumoperitoneum and subcutaneous emphysema.

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Submitted: 2011-10-13 23:24:28
Published: 2012-01-27 18:01:13
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Copyright (c) 2012 Francisco Miguel González Valverde, María Jesús Gómez Ramos, Miguel Ruiz Marín, Marcelino Méndez Martínez

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