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...

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Autores principales: Lundström, Niclas, Henriksson, Gert, Börjesson, Ola, Jonsson Fagerlund, Malin, Petersson, Johan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi 2019
Materias:
Case Report
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.
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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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