The use of noninvasive ventilation in acute respiratory failure associated with oral contrast aspiration pneumonitis.
Noninvasive ventilation (NIV) has been used to treat patients with acute respiratory failure, including cases of pneumonia. We used this technique in the management of an 83-year-old patient with acute respiratory failure secondary to inadvertent administration of oral contrast material into the lung, and who did not want to be intubated. NIV resulted in immediate improvement of respiratory status. The patient was weaned from NIV over the next 24 hours and eventually discharged from the hospital.
Keddissi
J I
JI
Pulmonary Disease and Critical Care Medicine Section of The University of Oklahoma Health Sciences Center, Oklahoma City 73104, USA. jeank2@yahoo.com
Metcalf
J P
JP
D000208:Acute Disease; D000284:Administration, Oral; D000368:Aged; D000369:Aged, 80 and over; D001466:Barium Sulfate / Q000008:administration & dosage / Q000009:adverse effects*; D003287:Contrast Media / Q000008:administration & dosage / Q000009:adverse effects*; D006801:Humans; D007384:Intermittent Positive-Pressure Breathing; D008297:Male; D011015:Pneumonia, Aspiration / Q000139:chemically induced* / Q000000981:diagnostic imaging; D012131:Respiratory Insufficiency / Q000139:chemically induced / Q000000981:diagnostic imaging / Q000628:therapy*; D014057:Tomography, X-Ray Computed
D003287:Contrast Media; D001466:Barium Sulfate