Year: 2015
Type: article
Abstract: Noninvasive Positive-Pressure VentilationTo the Editor: Kelly et al. (June 4 issue) 1 list the complications associated with noninvasive positive-pressure ventilation (NPPV) and potential responses to such complications in Table 1 of the print supplement to their video.There are two other important complications that might have been included.Gastric insufflation is reported in up to 50% of patients receiving NPPV. 2 If a tense and tympanic abdomen develops and arterial oxygen saturation declines, gastric insufflation should be considered.A simple radiograph may reveal the presence of substantial air in the stomach or an elevated diaphragm.3 The insertion of a nasogastric tube quickly relieves the symptoms.In addition, noninvasive ventilation can result in conjunctival irritation as a result of an air leak or direct irritation, particularly in patients with a poorly fitting nasal or oronasal mask.Refitting or reseating the mask generally corrects the problem.
Source: New England Journal of Medicine
DOI: 10.1056/nejmc1506108
Authors: Joshua M. Liao, Michael A. Fischer
Institution: Brigham and Women's Hospital
Language: English
Subfield: Economics and Econometrics
Domain: Social Sciences
Open Access status: bronze
OpenAlex ID: W2318485036