[Two cases of chronic atelectasis that improved through use of nasal continuous positive pressure].
We observed improvements in two cases of chronic atelectasis through use of nasal continuous positive airway pressure (nCPAP). Case 1 suffered from middle lobe syndrome accompanied by chronic atelectasis resistant to medical treatment. Case 2 suffered from respiratory failure caused by chronic atelectasis and airway infection complications thereof following a total pneumonectomy and post-pneumonectomy syndrome. The patient was placed on artificial ventilation, and atelectasis was improved by maintaining PEEP and airflow to the atelectatic region. Following extubation we obtained good pneumatization using nCPAP. nCPAP has been reported as effective not only in cases of sleep apnea, but also for cardiogenic pulmonary edema and post-operative atelectasis; we believe it holds great promise for chronic atelectasis as well.
Tsuchiya
Michiko
M
Department of Respirology, Rakuwakai Otowa Hospital.
Katsuki
Yuko
Y
Enokibori
Toru
T
Ninomiya
Kiyoshi
K
Fujimura
Naoki
N
D000368:Aged; D002908:Chronic Disease; D045422:Continuous Positive Airway Pressure; D005260:Female; D006801:Humans; D008878:Middle Lobe Syndrome / Q000209:etiology / Q000628:therapy; D011013:Pneumonectomy; D011183:Postoperative Complications; D001261:Pulmonary Atelectasis / Q000209:etiology / Q000628:therapy*; D012131:Respiratory Insufficiency / Q000209:etiology / Q000628:therapy