Un pneumoperitoine compliquant un pneumomediastin au cours de la ventilation non invasive

D. Planchard, M. Verdaguer, V. Levrat, F. Caron, M. Adoun, J. C. Meurice

Résultats de recherche: Contribution à un journalArticleRevue par des pairs

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Résumé

Introduction: Pneumoperitoneum is known to be a rare complication of invasive mechanical ventilation. However it has not previously been described as a consequence of non-invasive ventilation. Case report: The authors report a case of pneumoperitoneum associated with pneumomediastinum occurring in a 64-year-old patient treated for 3 years with bilevel ventilation via a nasal mask (expiratory pressure = 9 cm H2O, inspiratory pressure = 15 cm H2O) for obesity hypoventilation syndrome. Respiratory and gastroenterological investigations did not demonstrate a cause for this complication which resolved spontaneously following the cessation of ventilation. Nine months later, clinical deterioration and a worsening of blood gas parameters led to a recommencement of non-invasive mechanical ventilation at the same levels as previously. Over two years of follow up there have been no clinical or radiological signs of a recurrence of pneumomediastinum or pneumoperitoneum. Conclusion: In the absence of any other explanation, barotrauma due to nasal ventilation appears to be the most likely explanation for this complication.

Titre traduit de la contributionPneumoperitoneum and pneumomediastinum complicating non-invasive ventilation
langue originaleFrançais
Pages (de - à)147-150
Nombre de pages4
journalRevue des Maladies Respiratoires
Volume22
Numéro de publication1
Les DOIs
étatPublié - 1 janv. 2005
Modification externeOui

mots-clés

  • Complications
  • Nasal mask ventilation
  • Obesity hypoventilation syndrome
  • Pneumomediastinum
  • Pneumoperitoneum

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