Intraoperative use of BiPAP in patients with severe acute exacerbation of COPD and myasthenia gravis
<p><strong><span style="font-family: Verdana; font-size: small;">Introduction</span></strong><span style="font-family: Verdana; font-size: small;">: severe acute exacerbation of chronic obstructive pulmonary disease is the sixth leading cause o...
| Main Authors: | , |
|---|---|
| Format: | Article |
| Language: | Spanish |
| Published: |
Centro Nacional de Información de Ciencias Médicas. Editorial de Ciencias Médicas (ECIMED)
2016-08-01
|
| Series: | Revista Cubana de Anestesiología y Reanimación |
| Subjects: | |
| Online Access: | http://www.revanestesia.sld.cu/index.php/anestRean/article/view/256 |
| _version_ | 1818922272910475264 |
|---|---|
| author | Pedro Julio García Álvarez Edel Cabreja Mola |
| author_facet | Pedro Julio García Álvarez Edel Cabreja Mola |
| author_sort | Pedro Julio García Álvarez |
| collection | DOAJ |
| description | <p><strong><span style="font-family: Verdana; font-size: small;">Introduction</span></strong><span style="font-family: Verdana; font-size: small;">: severe acute exacerbation of chronic obstructive pulmonary disease is the sixth leading cause of death worldwide and its association with myasthenia is exceptional. When both conditions coexist in a patient requiring emergency surgery, it poses a challenge due to anesthetic difficulty in maintaining ventilation and the need for early extubation. In such situations, the use of BiPAP improves the ventilatory parameters and increases the safety margin for barotrauma, as well as it theoretically allows reducing the ventilation period. </span><br /> <span style="font-family: Verdana; font-size: small;"><strong>Objective</strong>: To show the ventilatory behavior in a clinical case with chronic obstructive pulmonary disease and myasthenia gravis accepted for transversostomy. </span><br /> <span style="font-family: Verdana; font-size: small;"><strong>Clinical case</strong>: A patient admitted to the intensive care unit for severe acute exacerbation of COPD associated with cholinergic crisis presented a bladder and rectal fistula and was intervened as an emergency for a transversostomy. Preoperative assessment made by the anesthesiologists is described, together with the blood gas and imaging studies. The preanesthetic medication is presented, together with the action plan developed with special emphasis on the application of intraoperative BiPAP. </span><br /> <span style="font-family: Verdana; font-size: small;"><strong>Conclusions</strong>: This ventilatory mode can be an efficient choice in the intraoperative time for patients at high risk for postoperative respiratory complications. </span></p> |
| first_indexed | 2024-12-20T01:50:55Z |
| format | Article |
| id | doaj.art-dd42fa40ff8c4ea9b2ef4fd48f173e10 |
| institution | Directory Open Access Journal |
| issn | 1726-6718 |
| language | Spanish |
| last_indexed | 2024-12-20T01:50:55Z |
| publishDate | 2016-08-01 |
| publisher | Centro Nacional de Información de Ciencias Médicas. Editorial de Ciencias Médicas (ECIMED) |
| record_format | Article |
| series | Revista Cubana de Anestesiología y Reanimación |
| spelling | doaj.art-dd42fa40ff8c4ea9b2ef4fd48f173e102022-12-21T19:57:38ZspaCentro Nacional de Información de Ciencias Médicas. Editorial de Ciencias Médicas (ECIMED)Revista Cubana de Anestesiología y Reanimación1726-67182016-08-01152253Intraoperative use of BiPAP in patients with severe acute exacerbation of COPD and myasthenia gravisPedro Julio García Álvarez0Edel Cabreja Mola1Hospital Dr. Octavio Concepción y Pedraja. CamagüeyHospital Dr. Octavio Concepción y Pedraja. Camagüey<p><strong><span style="font-family: Verdana; font-size: small;">Introduction</span></strong><span style="font-family: Verdana; font-size: small;">: severe acute exacerbation of chronic obstructive pulmonary disease is the sixth leading cause of death worldwide and its association with myasthenia is exceptional. When both conditions coexist in a patient requiring emergency surgery, it poses a challenge due to anesthetic difficulty in maintaining ventilation and the need for early extubation. In such situations, the use of BiPAP improves the ventilatory parameters and increases the safety margin for barotrauma, as well as it theoretically allows reducing the ventilation period. </span><br /> <span style="font-family: Verdana; font-size: small;"><strong>Objective</strong>: To show the ventilatory behavior in a clinical case with chronic obstructive pulmonary disease and myasthenia gravis accepted for transversostomy. </span><br /> <span style="font-family: Verdana; font-size: small;"><strong>Clinical case</strong>: A patient admitted to the intensive care unit for severe acute exacerbation of COPD associated with cholinergic crisis presented a bladder and rectal fistula and was intervened as an emergency for a transversostomy. Preoperative assessment made by the anesthesiologists is described, together with the blood gas and imaging studies. The preanesthetic medication is presented, together with the action plan developed with special emphasis on the application of intraoperative BiPAP. </span><br /> <span style="font-family: Verdana; font-size: small;"><strong>Conclusions</strong>: This ventilatory mode can be an efficient choice in the intraoperative time for patients at high risk for postoperative respiratory complications. </span></p>http://www.revanestesia.sld.cu/index.php/anestRean/article/view/256bipapbarotraumaenfermedad pulmonar obstructiva crónicamiastenia gravis |
| spellingShingle | Pedro Julio García Álvarez Edel Cabreja Mola Intraoperative use of BiPAP in patients with severe acute exacerbation of COPD and myasthenia gravis Revista Cubana de Anestesiología y Reanimación bipap barotrauma enfermedad pulmonar obstructiva crónica miastenia gravis |
| title | Intraoperative use of BiPAP in patients with severe acute exacerbation of COPD and myasthenia gravis |
| title_full | Intraoperative use of BiPAP in patients with severe acute exacerbation of COPD and myasthenia gravis |
| title_fullStr | Intraoperative use of BiPAP in patients with severe acute exacerbation of COPD and myasthenia gravis |
| title_full_unstemmed | Intraoperative use of BiPAP in patients with severe acute exacerbation of COPD and myasthenia gravis |
| title_short | Intraoperative use of BiPAP in patients with severe acute exacerbation of COPD and myasthenia gravis |
| title_sort | intraoperative use of bipap in patients with severe acute exacerbation of copd and myasthenia gravis |
| topic | bipap barotrauma enfermedad pulmonar obstructiva crónica miastenia gravis |
| url | http://www.revanestesia.sld.cu/index.php/anestRean/article/view/256 |
| work_keys_str_mv | AT pedrojuliogarciaalvarez intraoperativeuseofbipapinpatientswithsevereacuteexacerbationofcopdandmyastheniagravis AT edelcabrejamola intraoperativeuseofbipapinpatientswithsevereacuteexacerbationofcopdandmyastheniagravis |