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Case Report

Open Access

Bronchoscopy during non-invasive ventilation in a patient with acute respiratory distress syndrome

  • TIZIANA BOVE1
  • CARMINE DOMENICO VOTTA1
  • PAOLA CIRIACO2
  • FEDERICO PAPPALARDO1
  • ALESSANDRO ORIANI1
  • GIOVANNA FRAU1
  • ALBERTO ZANGRILLO3

1Department of Anesthesia and Intensive Care, IRCCS San Raffaele Scientific Institute, Milan, Italy

2 Department of Thoracic Surgery, IRCCS San Raffaele Scientific Institute, Milan, Italy

3 Vita-Salute San Raffaele University, Milan, Italy

DOI: 10.22514/SV131.032017.13 Vol.13,Issue 1,March 2017 pp.103-104

Published: 20 March 2017

*Corresponding Author(s): CARMINE DOMENICO VOTTA E-mail: carmine.d.votta@virgilio.it

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Abstract

A 72-year-old man was transferred to our hospital for refractory severe acute respiratory syndrome. On arrival, he was intubated and mechanically ventilated. Furthermore, he required veno-venous extracorporeal membrane oxygenation. Two days later, he was extubated and sup-ported with periods of non-invasive ven-tilation (NIV), with a new mask. Because of large amounts of bronchial secretions that he was not able to expectorate, flex-ible fiberoptic bronchoscopy (FFB) was performed to remove the secretions, with-out interrupting NIV support. During the procedure, the patient remained hemody-namically stable, breathing spontaneously and with just a mild reduction in oxygen saturation (SpO2) (97.9% vs. 96.8%). This case report highlights the possibility of performing upper endoscopic procedures, such as FFB, during non-invasive ventila-tion in patients in whom this respiratory support is required and its interruption may be harmful. 

Keywords

non-invasive ventilation, acute respiratory distress syndrome, flexible fiber-optic bronchoscopy, intensive care unit

Cite and Share

TIZIANA BOVE,CARMINE DOMENICO VOTTA,PAOLA CIRIACO,FEDERICO PAPPALARDO,ALESSANDRO ORIANI,GIOVANNA FRAU,ALBERTO ZANGRILLO. Bronchoscopy during non-invasive ventilation in a patient with acute respiratory distress syndrome. Signa Vitae. 2017. 13(1);103-104.

URL:

https://www.signavitae.com/articles/ 10.22514/SV131.032017.13

References

1. Mas A, Masip J. Noninvasive ventilation in acute respiratory failure. Int J Chron Obstruct Pulmon Dis 2014;9:837-52.

2. Girou E, Schortgen F, Delclaux C, Brun-Buisson C, Blot F, Lefort Y, et al. Association of noninvasive ventilation with nosocomial infections and survival in critically ill patients. JAMA 2000;284:2361-7.

3. Sehgal IS, Chaudhuri S, Dhooria S, Agarwal R, Chaudhry D. A study on the role of noninvasive ventilation in mild to moderate acute respiratory distress syndrome. Indian J Crit Care Med 2015;19:593-9.

4. Chawla R, Mansuriya J, Modi N, Pandey A, Juneja D, Chawla A, et al. Acute respiratory distress syndrome: Predictors of noninvasive ventilation failure and intensive care unit mortality in clinical practice. J Crit Care 2016;31:26-30.

5. Du Rand IA, Blaikley J, Booton R, Chaudhuri N, Gupta V, Khalid S, et al. British Thoracic Society guideline for diagnostic flexible bronchoscopy in adults: accredited by NICE. Thorax 2013;68 Suppl 1:i1-i44.

6. Cabrini L, Landoni G. A novel non-invasive ventilation mask to prevent and manage respiratory failure during fiberoptic bronchos-copy, gastroscopy and transesophageal echocardiography. Heart Lung Vessel 2015;7:293-03.

7. Cabrini L, Savia I, Bevilacqua M, Votta CD, Filippini M, Landoni G, et al. Continuous positive airway pressure during upper endos-copies: a bench-study on a novel device. J Cardiothorac Vasc Anesth 2016;30:e43-5.

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