A rare complication of continuous positive airway pressure treatment – rectus sheath hematoma: a case report

Noninvasive mechanical ventilation (NIMV) has a relevant role in the treatment of critically ill patients displaying severe dyspnea. Continuous positive airway pressure (CPAP), a method of NIMV, is also widely used in the management of acute heart failure, chronic obstructive pulmonary disease (COPD...

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Main Authors: Adnan Yamanoğlu, Serkan Bilgin, Nalan Gokce Celebi Yamanoğlu, Fatih Esad Topal
Format: Article
Language:English
Published: Elsevier 2021-07-01
Series:Brazilian Journal of Anesthesiology
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S010400142100107X
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author Adnan Yamanoğlu
Serkan Bilgin
Nalan Gokce Celebi Yamanoğlu
Fatih Esad Topal
author_facet Adnan Yamanoğlu
Serkan Bilgin
Nalan Gokce Celebi Yamanoğlu
Fatih Esad Topal
author_sort Adnan Yamanoğlu
collection DOAJ
description Noninvasive mechanical ventilation (NIMV) has a relevant role in the treatment of critically ill patients displaying severe dyspnea. Continuous positive airway pressure (CPAP), a method of NIMV, is also widely used in the management of acute heart failure, chronic obstructive pulmonary disease (COPD) exacerbation, and symptomatic sleep apnea. However, numerous traumatic complications of CPAP treatment in the face region, head, and thorax have been reported and may be related to the application of a continuous positive high pressure to the airway. Conversely, we have observed no complications due to CPAP-related increased intra-abdominal pressure. In this article, we describe a clinical case of a patient with an acute rectus sheath hematoma during CPAP treatment. This previously unreported complication demonstrates that CPAP should be carefully used in patients with exacerbated COPD with difficulty in expiration
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spelling doaj.art-2b6cdbba49ac4be19b68217a9ff084a22022-12-22T04:32:26ZengElsevierBrazilian Journal of Anesthesiology0104-00142021-07-01714461463A rare complication of continuous positive airway pressure treatment – rectus sheath hematoma: a case reportAdnan Yamanoğlu0Serkan Bilgin1Nalan Gokce Celebi Yamanoğlu2Fatih Esad Topal3Ataturk Training and Research Hospital, Izmir Katip Celebi University, Department of Emergency Medicine, Izmir, Turkey; Corresponding author.Ataturk Training and Research Hospital, Izmir Katip Celebi University, Department of Emergency Medicine, Izmir, TurkeyIzmir Bozyaka Training and Research Hospital, Department of Emergency Medicine, Izmir, TurkeyAtaturk Training and Research Hospital, Izmir Katip Celebi University, Department of Emergency Medicine, Izmir, TurkeyNoninvasive mechanical ventilation (NIMV) has a relevant role in the treatment of critically ill patients displaying severe dyspnea. Continuous positive airway pressure (CPAP), a method of NIMV, is also widely used in the management of acute heart failure, chronic obstructive pulmonary disease (COPD) exacerbation, and symptomatic sleep apnea. However, numerous traumatic complications of CPAP treatment in the face region, head, and thorax have been reported and may be related to the application of a continuous positive high pressure to the airway. Conversely, we have observed no complications due to CPAP-related increased intra-abdominal pressure. In this article, we describe a clinical case of a patient with an acute rectus sheath hematoma during CPAP treatment. This previously unreported complication demonstrates that CPAP should be carefully used in patients with exacerbated COPD with difficulty in expirationhttp://www.sciencedirect.com/science/article/pii/S010400142100107XBedside ultrasoundChronic obstructive pulmonary diseaseDyspneaEmergency medicineNoninvasive mechanical ventilation
spellingShingle Adnan Yamanoğlu
Serkan Bilgin
Nalan Gokce Celebi Yamanoğlu
Fatih Esad Topal
A rare complication of continuous positive airway pressure treatment – rectus sheath hematoma: a case report
Brazilian Journal of Anesthesiology
Bedside ultrasound
Chronic obstructive pulmonary disease
Dyspnea
Emergency medicine
Noninvasive mechanical ventilation
title A rare complication of continuous positive airway pressure treatment – rectus sheath hematoma: a case report
title_full A rare complication of continuous positive airway pressure treatment – rectus sheath hematoma: a case report
title_fullStr A rare complication of continuous positive airway pressure treatment – rectus sheath hematoma: a case report
title_full_unstemmed A rare complication of continuous positive airway pressure treatment – rectus sheath hematoma: a case report
title_short A rare complication of continuous positive airway pressure treatment – rectus sheath hematoma: a case report
title_sort rare complication of continuous positive airway pressure treatment rectus sheath hematoma a case report
topic Bedside ultrasound
Chronic obstructive pulmonary disease
Dyspnea
Emergency medicine
Noninvasive mechanical ventilation
url http://www.sciencedirect.com/science/article/pii/S010400142100107X
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