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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| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Wiley
2019-01-01
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| Series: | Case Reports in Critical Care |
| Online Access: | http://dx.doi.org/10.1155/2019/2921819 |
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| _version_ | 1832551922479923200 |
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| author | Niclas Lundström Gert Henriksson Ola Börjesson Malin Jonsson Fagerlund Johan Petersson |
| author_facet | Niclas Lundström Gert Henriksson Ola Börjesson Malin Jonsson Fagerlund Johan Petersson |
| author_sort | Niclas Lundström |
| collection | DOAJ |
| 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 | Article |
| id | doaj-art-008636f7fe5c4a39889ab5715726c853 |
| institution | Kabale University |
| issn | 2090-6420 2090-6439 |
| language | English |
| publishDate | 2019-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Critical Care |
| spelling | doaj-art-008636f7fe5c4a39889ab5715726c8532025-02-03T05:59:54ZengWileyCase Reports in Critical Care2090-64202090-64392019-01-01201910.1155/2019/29218192921819Circulatory Collapse due to Hyperinflation in a Patient with Tracheobronchomalacia: A Case Report and Brief ReviewNiclas Lundström0Gert Henriksson1Ola Börjesson2Malin Jonsson Fagerlund3Johan Petersson4Function Perioperative Medicine and Intensive Care (PMI), Karolinska University Hospital, SwedenDepartment of ENT Surgery, Karolinska University Hospital, SwedenDepartment of Rheumatology, Karolinska University Hospital, SwedenFunction Perioperative Medicine and Intensive Care (PMI), Karolinska University Hospital, SwedenFunction Perioperative Medicine and Intensive Care (PMI), Karolinska University Hospital, SwedenWe 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.http://dx.doi.org/10.1155/2019/2921819 |
| spellingShingle | Niclas Lundström Gert Henriksson Ola Börjesson Malin Jonsson Fagerlund Johan Petersson Circulatory Collapse due to Hyperinflation in a Patient with Tracheobronchomalacia: A Case Report and Brief Review Case Reports in Critical Care |
| 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 |
| url | http://dx.doi.org/10.1155/2019/2921819 |
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