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 contribution | Pneumoperitoneum and pneumomediastinum complicating non-invasive ventilation |
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langue originale | Français |
Pages (de - à) | 147-150 |
Nombre de pages | 4 |
journal | Revue des Maladies Respiratoires |
Volume | 22 |
Numéro de publication | 1 |
Les DOIs | |
état | Publié - 1 janv. 2005 |
Modification externe | Oui |
mots-clés
- Complications
- Nasal mask ventilation
- Obesity hypoventilation syndrome
- Pneumomediastinum
- Pneumoperitoneum