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Circulatory Collapse due to Hyperinflation in a Patient with Tracheobronchomalacia: A Case Report and Brief Review
We present a case of repeated cardiac arrests derived from dynamic hyperinflation in a patient with severe tracheobronchomalacia. Mechanical ventilation led to auto-PEEP with hemodynamic impairment and pulseless electric activity. Adjusted ventilation settings, deep sedation, and muscle paralysis fo...
Autores principales: | , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi
2019
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6374882/ https://www.ncbi.nlm.nih.gov/pubmed/30838137 http://dx.doi.org/10.1155/2019/2921819 |
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author | Lundström, Niclas Henriksson, Gert Börjesson, Ola Jonsson Fagerlund, Malin Petersson, Johan |
author_facet | Lundström, Niclas Henriksson, Gert Börjesson, Ola Jonsson Fagerlund, Malin Petersson, Johan |
author_sort | Lundström, Niclas |
collection | PubMed |
description | We present a case of repeated cardiac arrests derived from dynamic hyperinflation in a patient with severe tracheobronchomalacia. Mechanical ventilation led to auto-PEEP with hemodynamic impairment and pulseless electric activity. Adjusted ventilation settings, deep sedation, and muscle paralysis followed by acute stenting of the affected collapsing airways restored ventilation and prevented recurrent circulatory collapse. We briefly review the pathophysiology and treatment options in patients with dynamic hyperinflation. |
format | Online Article Text |
id | pubmed-6374882 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2019 |
publisher | Hindawi |
record_format | MEDLINE/PubMed |
spelling | pubmed-63748822019-03-05 Circulatory Collapse due to Hyperinflation in a Patient with Tracheobronchomalacia: A Case Report and Brief Review Lundström, Niclas Henriksson, Gert Börjesson, Ola Jonsson Fagerlund, Malin Petersson, Johan Case Rep Crit Care Case Report We present a case of repeated cardiac arrests derived from dynamic hyperinflation in a patient with severe tracheobronchomalacia. Mechanical ventilation led to auto-PEEP with hemodynamic impairment and pulseless electric activity. Adjusted ventilation settings, deep sedation, and muscle paralysis followed by acute stenting of the affected collapsing airways restored ventilation and prevented recurrent circulatory collapse. We briefly review the pathophysiology and treatment options in patients with dynamic hyperinflation. Hindawi 2019-01-29 /pmc/articles/PMC6374882/ /pubmed/30838137 http://dx.doi.org/10.1155/2019/2921819 Text en Copyright © 2019 Niclas Lundström et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report Lundström, Niclas Henriksson, Gert Börjesson, Ola Jonsson Fagerlund, Malin Petersson, Johan Circulatory Collapse due to Hyperinflation in a Patient with Tracheobronchomalacia: A Case Report and Brief Review |
title | Circulatory Collapse due to Hyperinflation in a Patient with Tracheobronchomalacia: A Case Report and Brief Review |
title_full | Circulatory Collapse due to Hyperinflation in a Patient with Tracheobronchomalacia: A Case Report and Brief Review |
title_fullStr | Circulatory Collapse due to Hyperinflation in a Patient with Tracheobronchomalacia: A Case Report and Brief Review |
title_full_unstemmed | Circulatory Collapse due to Hyperinflation in a Patient with Tracheobronchomalacia: A Case Report and Brief Review |
title_short | Circulatory Collapse due to Hyperinflation in a Patient with Tracheobronchomalacia: A Case Report and Brief Review |
title_sort | circulatory collapse due to hyperinflation in a patient with tracheobronchomalacia: a case report and brief review |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6374882/ https://www.ncbi.nlm.nih.gov/pubmed/30838137 http://dx.doi.org/10.1155/2019/2921819 |
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