[Stomach rupture associated with noninvasive ventilation].
Noninvasive positive-pressure ventilation (NIPPV) is a safe method to treat acute respiratory failure and is known to decrease the need for intubation and the length of ICU-stay. Few severe complications have been reported even when the indications are respected. Some rare cases of gastric distension were recently described. We report the case of a gastric perforation associated with NIPPV. The treatment was closure with a primary interrupted two-layer suture. Recovery was complete and the patient was transferred to the ward on Day 11.
Jean-Lavaleur
M
M
Département d'anesthésie réanimation II, hôpital du Haut-Lévêque, CHU de Bordeaux, 1, avenue du Haut-Lévêque, 33600 Pessac, France. may_j@hotmail.fr
Perrier
V
V
Roze
H
H
Sarrabay
P
P
Fleureau
C
C
Janvier
G
G
D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D011175:Positive-Pressure Respiration / Q000009:adverse effects*; D011183:Postoperative Complications / Q000473:pathology / Q000628:therapy*; D011351:Proctoscopy; D012007:Rectum / Q000601:surgery; D012131:Respiratory Insufficiency / Q000150:complications / Q000628:therapy; D013270:Stomach / Q000473:pathology; D013275:Stomach Rupture / Q000209:etiology* / Q000473:pathology