Article

Fiber-optic bronchoscopy supported by continuous or bilevel positive airway
pressure has helped patients with hypoxemic or hypercapnic respiratory failure
avoid respiratory complications. The authors describe a case of a 57-yr-old man
with multiple sclerosis with a vital capacity of 250 ml (5% of predicted normal)
who was using continuous noninvasive intermittent positive pressure ventilatory
support when he underwent bronchoscopy while receiving continuous noninvasive
intermittent positive pressure ventilatory support via a 15-mm angled mouthpiece
interface. He was switched from a nasal to a 15-mm angled mouthpiece interface
for continuous noninvasive intermittent positive pressure ventilatory support for
the procedure. Simple mouthpieces may be useful alternatives to other facial
interfaces for ventilatory support during bronchoscopy because of patient comfort
and operator convenience.

Langue : ANGLAIS