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

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Francisco Miguel González Valverde *
María Jesús Gómez Ramos
Miguel Ruiz Marín
Marcelino Méndez Martínez
(*) Corresponding Author:
Francisco Miguel González Valverde |


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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