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Biphasic cuirass ventilation for treatment of an air leak after pneumothorax in a patient with nemaline myopathy: a case report

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Abstract

We describe an 11-year-old boy with nemaline myopathy who developed tension pneumothorax while undergoing noninvasive positive-pressure ventilation (NIPPV). The patient developed a persistent air leak after pleurodesis with minocycline hydrochloride and lowering of the NIPPV inspiratory pressure. He required additional respiratory support without the high airway pressures that may aggravate pneumothorax. We provided adequate respiratory support without increasing the positive airway pressure using biphasic cuirass ventilation (BCV), which moved the patient’s chest wall by negative pressure. The air leak was resolved without any additional treatment. We should provide BCV for patients in whom surgery may have a risk of both extubation failure and postoperative complications before deciding on surgery.

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Acknowledgments

We thank Drs. Shungo Yukumi and Yasuaki Kashu for their assistance with the treatment of the patient.

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Authors and Affiliations

  1. Department of Pediatrics, Ehime University Graduate School of Medicine, Shitsukawa, Toon, Ehime, 791-0295, Japan

    Hitomi Hino, Eiichi Ishii & Mitsumasa Fukuda

  2. Department of Pediatrics, Matsuyama Red Cross Hospital, Matsuyama, Ehime, Japan

    Yuka Suzuki

Authors
  1. Hitomi Hino
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  2. Yuka Suzuki
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  3. Eiichi Ishii
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  4. Mitsumasa Fukuda
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Correspondence to Hitomi Hino.

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Hino, H., Suzuki, Y., Ishii, E. et al. Biphasic cuirass ventilation for treatment of an air leak after pneumothorax in a patient with nemaline myopathy: a case report. J Anesth 30, 1087–1090 (2016). https://doi.org/10.1007/s00540-016-2250-x

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  • DOI: https://doi.org/10.1007/s00540-016-2250-x

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