Noninvasive mechanical ventilation in a patient with respiratory failure after hematopoietic progenitor transplantation.
Respiratory failure requiring orotracheal intubation (OTI) and mechanical ventilation (MV) is almost always a fatal complication in patients who undergo hematopoietic progenitor transplantation (HPT). We present the case of a woman who suffered respiratory failure with bilateral infiltrates on a chest X-ray taken on day +14 following autologous bone marrow transplantation. We managed the patient satisfactorily with noninvasive ventilation, avoiding OTI. We believe that patients with non-progressive pulmonary lesions and without multiple system organ failure, may be correctly managed with noninvasive positive-pressure ventilation (NPPV).
Marín
D
D
Clinical Hematology Service, Ciutat Sanitaria i Universitaria de Bellvitge, Hospital Duran i Reynals, Institut Catalá d'Oncologia, Barcelona, Spain.
González-Barca
E
E
Domingo
E
E
Berlanga
J
J
Grañena
A
A
D000368:Aged; D005260:Female; D018380:Hematopoietic Stem Cell Transplantation / Q000009:adverse effects*; D006801:Humans; D016403:Lymphoma, Large B-Cell, Diffuse / Q000628:therapy; D011175:Positive-Pressure Respiration; D012131:Respiratory Insufficiency / Q000209:etiology* / Q000628:therapy*; D013997:Time Factors; D014182:Transplantation, Autologous