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Unexpected pulmonary mechanics during positive pressure mechanical ventilation in fibrotic lung disease with concomitant flail chest
van der Rijst, Nathalie D'Alonzo, Gilbert Salerno, Daniel
van der Rijst, Nathalie
D'Alonzo, Gilbert
Salerno, Daniel
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Journal article
Date
2022-12-24
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Thoracic Medicine and Surgery
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http://dx.doi.org/10.1016/j.rmcr.2022.101802
Abstract
Understanding of pulmonary mechanics is essential to understanding mechanical ventilation. Typically, clinicians are mindful of peak and plateau pressures displayed on the ventilator and lung compliance, which is decreased in lung disease such as idiopathic pulmonary fibrosis (IPF). Decreased lung compliance leads to elevated peak and plateau pressures. We present a patient with IPF undergoing mechanical ventilation after cardiac arrest. Despite low lung compliance, he had normal peak and plateau pressures due to the presence of flail chest and increased chest wall compliance. This case highlights the role chest wall compliance plays in total respiratory system compliance and pulmonary mechanics.
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Citation
Shameek Gayen, Nathalie van der Rijst, Gilbert D'Alonzo, Daniel Salerno, Unexpected pulmonary mechanics during positive pressure mechanical ventilation in fibrotic lung disease with concomitant flail chest, Respiratory Medicine Case Reports, Volume 41, 2023, 101802, ISSN 2213-0071, https://doi.org/10.1016/j.rmcr.2022.101802.
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Elsevier
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Respiratory Medicine Case Reports, Vol. 41
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