Recurrent Pneumothorax with CPAP Therapy for Obstructive Sleep Apnea
Joint Authors
Rajdev, Kartikeya
Idiculla, Pretty Sara
Sharma, Shubham
Von Essen, Susanna G.
Bista, Sabin
Murphy, Peter J.
Source
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-12-01
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Pulmonary barotrauma such as pneumothorax (PTX) is a known complication of invasive mechanical ventilation.
However, it is uncommonly reported with the use of noninvasive positive pressure ventilation (NPPV) and CPAP (continuous positive airway pressure) therapy.
We present a case of a 66-year-old female who presented with chronic dyspnea on exertion secondary to right-sided diaphragmatic hernia.
The patient also underwent a home sleep study which suggested obstructive sleep apnea (OSA) for which she was initiated on CPAP.
She then underwent surgical repair of her right diaphragmatic hernia.
The patient developed pneumothorax three times over the course of the following several months, once on the right side and twice on the left side.
The patient’s incidences of PTX had a temporal association with the CPAP initiation.
Her CPAP therapy was discontinued permanently after the third occurrence of PTX.
With this case report, we highlight the risk of barotrauma with the use of CPAP for OSA.
There are very few reported cases of PTX in association with NPPV therapy for OSA.
The lung-protective ventilation strategies and limiting the positive airway pressures can help reduce the risk of pulmonary barotrauma with CPAP.
American Psychological Association (APA)
Rajdev, Kartikeya& Idiculla, Pretty Sara& Sharma, Shubham& Von Essen, Susanna G.& Murphy, Peter J.& Bista, Sabin. 2020. Recurrent Pneumothorax with CPAP Therapy for Obstructive Sleep Apnea. Case Reports in Pulmonology،Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1151044
Modern Language Association (MLA)
Rajdev, Kartikeya…[et al.]. Recurrent Pneumothorax with CPAP Therapy for Obstructive Sleep Apnea. Case Reports in Pulmonology No. 2020 (2020), pp.1-6.
https://search.emarefa.net/detail/BIM-1151044
American Medical Association (AMA)
Rajdev, Kartikeya& Idiculla, Pretty Sara& Sharma, Shubham& Von Essen, Susanna G.& Murphy, Peter J.& Bista, Sabin. Recurrent Pneumothorax with CPAP Therapy for Obstructive Sleep Apnea. Case Reports in Pulmonology. 2020. Vol. 2020, no. 2020, pp.1-6.
https://search.emarefa.net/detail/BIM-1151044
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1151044