Bronchopleural Fistula Resolution with Endobronchial Valve Placement and Liberation from Mechanical Ventilation in Acute Respiratory Distress Syndrome: A Case Series
Patients who have acute respiratory distress syndrome (ARDS) with persistent air leaks have worse outcomes. Endobronchial valves (EBV) are frequently deployed after pulmonary resection in noncritically ill patients to reduce and eliminate bronchopleural fistulas (BPFs) with persistent air leak (PAL)...
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| Format: | Article |
| Language: | English |
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Wiley
2017-01-01
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| Series: | Case Reports in Critical Care |
| Online Access: | http://dx.doi.org/10.1155/2017/3092457 |
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| author | Haris Kalatoudis Meena Nikhil Fuad Zeid Yousef Shweihat |
| author_facet | Haris Kalatoudis Meena Nikhil Fuad Zeid Yousef Shweihat |
| author_sort | Haris Kalatoudis |
| collection | DOAJ |
| description | Patients who have acute respiratory distress syndrome (ARDS) with persistent air leaks have worse outcomes. Endobronchial valves (EBV) are frequently deployed after pulmonary resection in noncritically ill patients to reduce and eliminate bronchopleural fistulas (BPFs) with persistent air leak (PAL). Information regarding EBV placement in mechanically ventilated patients with ARDS and high volume persistent air leaks is rare and limited to case reports. We describe three cases where EBV placement facilitated endotracheal extubation in patients with severe respiratory failure on prolonged mechanical ventilation with BPFs. In each case, EBV placement led to immediate resolution of PAL. We believe endobronchial valve placement is a safe method treating persistent air leak with severe respiratory failure and may reduce days on mechanical ventilation. |
| format | Article |
| id | doaj-art-8d7903d7bc3d44c7b96f8e17afb140c7 |
| institution | OA Journals |
| issn | 2090-6420 2090-6439 |
| language | English |
| publishDate | 2017-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Critical Care |
| spelling | doaj-art-8d7903d7bc3d44c7b96f8e17afb140c72025-08-20T02:09:41ZengWileyCase Reports in Critical Care2090-64202090-64392017-01-01201710.1155/2017/30924573092457Bronchopleural Fistula Resolution with Endobronchial Valve Placement and Liberation from Mechanical Ventilation in Acute Respiratory Distress Syndrome: A Case SeriesHaris Kalatoudis0Meena Nikhil1Fuad Zeid2Yousef Shweihat3Pulmonary Department, Byrd Clinical Center, Marshall University School of Medicine, 1249 15th Street, Huntington, WV 25701, USAInternal Medicine Department, Marshall University School of Medicine, 1600 Medical Center Drive, Huntington, WV 25701, USAPulmonary Department, Byrd Clinical Center, Marshall University School of Medicine, 1249 15th Street, Huntington, WV 25701, USAPulmonary Department, Byrd Clinical Center, Marshall University School of Medicine, 1249 15th Street, Huntington, WV 25701, USAPatients who have acute respiratory distress syndrome (ARDS) with persistent air leaks have worse outcomes. Endobronchial valves (EBV) are frequently deployed after pulmonary resection in noncritically ill patients to reduce and eliminate bronchopleural fistulas (BPFs) with persistent air leak (PAL). Information regarding EBV placement in mechanically ventilated patients with ARDS and high volume persistent air leaks is rare and limited to case reports. We describe three cases where EBV placement facilitated endotracheal extubation in patients with severe respiratory failure on prolonged mechanical ventilation with BPFs. In each case, EBV placement led to immediate resolution of PAL. We believe endobronchial valve placement is a safe method treating persistent air leak with severe respiratory failure and may reduce days on mechanical ventilation.http://dx.doi.org/10.1155/2017/3092457 |
| spellingShingle | Haris Kalatoudis Meena Nikhil Fuad Zeid Yousef Shweihat Bronchopleural Fistula Resolution with Endobronchial Valve Placement and Liberation from Mechanical Ventilation in Acute Respiratory Distress Syndrome: A Case Series Case Reports in Critical Care |
| title | Bronchopleural Fistula Resolution with Endobronchial Valve Placement and Liberation from Mechanical Ventilation in Acute Respiratory Distress Syndrome: A Case Series |
| title_full | Bronchopleural Fistula Resolution with Endobronchial Valve Placement and Liberation from Mechanical Ventilation in Acute Respiratory Distress Syndrome: A Case Series |
| title_fullStr | Bronchopleural Fistula Resolution with Endobronchial Valve Placement and Liberation from Mechanical Ventilation in Acute Respiratory Distress Syndrome: A Case Series |
| title_full_unstemmed | Bronchopleural Fistula Resolution with Endobronchial Valve Placement and Liberation from Mechanical Ventilation in Acute Respiratory Distress Syndrome: A Case Series |
| title_short | Bronchopleural Fistula Resolution with Endobronchial Valve Placement and Liberation from Mechanical Ventilation in Acute Respiratory Distress Syndrome: A Case Series |
| title_sort | bronchopleural fistula resolution with endobronchial valve placement and liberation from mechanical ventilation in acute respiratory distress syndrome a case series |
| url | http://dx.doi.org/10.1155/2017/3092457 |
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