Severe bullous emphysema and hypercapnia successfully treated by bronchoscopic lung volume reduction.
Patients with severe COPD may develop hypercapnic respiratory failure requiring mechanical ventilation and are at risk of becoming ventilator-dependent. We describe a patient with uncontrollable hypercapnic respiratory failure on mechanical ventilation whose respiratory condition and life were improved after bronchoscopic lung volume reduction. Further discussion of the possibility of bronchoscopic lung volume reduction in patients who require mechanical ventilation due to hypercapnic respiratory failure is warranted.
Tsujino
Kazuyuki
K
Department of Thoracic Malignancy, Osaka Prefectural Medical Center for Respiratory and Allergic Diseases, Habikino-Shi, Osaka, Japan. kazuyuki583@yahoo.co.jp
Sasada
Shinji
S
Kodama
Masami
M
Ishihara
Hideki
H
Kawase
Ichiro
I
D000368:Aged; D001999:Bronchoscopy / Q000379:methods*; D006801:Humans; D006935:Hypercapnia / Q000601:surgery*; D008297:Male; D011013:Pneumonectomy / Q000379:methods*; D029424:Pulmonary Disease, Chronic Obstructive / Q000601:surgery; D011656:Pulmonary Emphysema / Q000601:surgery*; D012121:Respiration, Artificial; D012131:Respiratory Insufficiency / Q000601:surgery; D012720:Severity of Illness Index; D016896:Treatment Outcome