Case Reports
Vol. 3 (2013)
https://doi.org/10.4081/cdr.3.243

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

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Received: 13 October 2011
Published: 27 January 2012
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barotrauma, bi-level positive airway pressure, pneumomediastinum, pneumoperitoneum, retropneumoperitoneum and subcutaneous emphysema.
thoracic surgery

Authors

Francisco Miguel González Valverde
migova@terra.es
Surgery Department. Hospital General Universitario Reina Sofia de Murcia, Spain.
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.
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.

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Severe pulmonary air-leakage associated with bi-level positive airway pressure. (2012). Chest Disease Reports, 3(1), e1. https://doi.org/10.4081/cdr.3.243
Copyright (c) 2012 Francisco Miguel González Valverde, María Jesús Gómez Ramos, Miguel Ruiz Marín, Marcelino Méndez Martínez Creative Commons License

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