Hemopneumothorax in a COPD patient treated with noninvasive positive pressure ventilation: the risk of attendant anticoagulation.
Noninvasive positive pressure ventilation (NIPPV) modalities have been proven to be effective in the setting of exacerbations of chronic obstructive pulmonary disease (COPD). Reported complications include pneumothorax, increased work of breathing, gastric distension and air embolism. This case demonstrates that patients with severe COPD on anticoagulant therapy are potentially at risk for the serious complication of combined lung barotrauma and hemorrhage while on acute NIPPV therapy. This is the first reported case of hemopneumothorax complicating NIPPV therapy.
Raghavan
R
R
Department of Medicine, Queen's University, Kingston, Ontario.
Ellis
A K
AK
Wobeser
W
W
Sutherland
K B
KB
O'Donnell
D E
DE
D000368:Aged; D000369:Aged, 80 and over; D000925:Anticoagulants / Q000009:adverse effects; D006468:Hemopneumothorax / Q000000981:diagnostic imaging / Q000209:etiology*; D006470:Hemorrhage / Q000139:chemically induced* / Q000209:etiology; D006801:Humans; D008297:Male; D011030:Pneumothorax / Q000000981:diagnostic imaging / Q000209:etiology; D011175:Positive-Pressure Respiration / Q000009:adverse effects*; D029424:Pulmonary Disease, Chronic Obstructive / Q000150:complications / Q000000981:diagnostic imaging / Q000628:therapy*; D011859:Radiography
D000925:Anticoagulants