Flexible Bronchoscopy in a Patient With Pneumomediastinum and Hypoxemic Respiratory Failure: High-Flow Nasal Cannula to the Rescue

被引：0

作者：

Sryma, P. B. ^{[1
]}

Hadda, Vijay ^{[1
]}

Madan, Karan ^{[1
]}

Tiwari, Pawan ^{[1
]}

Mohan, Anant ^{[1
]}

机构：

[1] All India Inst Med Sci, Pulm Crit Care & Sleep Med, New Delhi, India

来源：

CUREUS JOURNAL OF MEDICAL SCIENCE | 2021年 / 13卷 / 01期

关键词：

pulmonary tuberculosis; pneumomediastinum; high flow nasal cannula; flexible bronchoscopy; ards; acute respiratory distress syndrome;

D O I：

10.7759/cureus.12800

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Flexible bronchoscopy with bronchoalveolar lavage carries a significant risk of hypoxia in patients with acute hypoxemic respiratory failure. Noninvasive positive pressure ventilation and high-flow nasal cannula are the most commonly used modalities for reducing procedure-related hypoxemia in such patients. There is no guideline on how to safely perform a bronchoscopy in patients with spontaneous pneumomediastinum and hypoxemic respiratory failure. Here we describe a case of bilateral necrotizing pneumonia, spontaneous pneumomediastinum, and moderate acute respiratory distress syndrome who required diagnostic flexible bronchoscopy.

引用

页数：4

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