| Ventilator auto-triggering in a patient with tuberculous bronchopleural fistula. | |
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MedLine Citation:
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PMID: 12729469 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We report a case of ventilator auto-triggering resulting from tuberculous bronchopleural fistula being managed with chest tube suction. Early recognition of bronchopleural fistula-related auto-triggering is extremely important. Auto-triggering can lead to serious adverse effects, including severe hyperventilation and inappropriate escalation of sedatives and/or neuromuscular blockers (administered to reduce spontaneous breathing efforts). Auto-triggering was confirmed in our patient when tachypnea persisted despite pharmacologic neuromuscular paralysis. Auto-triggering can be reduced or eliminated by decreasing ventilator trigger sensitivity or by decreasing the air leak flow by reducing the degree of chest tube suction. |
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Authors:
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Jeffrey S Sager; Glenn Eiger; Barry D Fuchs |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Respiratory care Volume: 48 ISSN: 0020-1324 ISO Abbreviation: Respir Care Publication Date: 2003 May |
Date Detail:
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Created Date: 2003-05-05 Completed Date: 2003-09-10 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 7510357 Medline TA: Respir Care Country: United States |
Other Details:
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Languages: eng Pagination: 519-21 Citation Subset: IM |
Affiliation:
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Pulmonary, Allergy and Critical Care Division, Hospital of the University of Pennsylvania, 838 W Gates Building, 3600 Spruce Street, Philadelphia PA 19104, USA. jsager@mail.med.upenn.edu. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Bronchial Fistula
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therapy* Chest Tubes* Equipment Failure Female Fistula / therapy* Humans Intubation, Intratracheal / instrumentation Middle Aged Pleural Diseases / therapy* Pneumothorax / prevention & control Suction / methods Tidal Volume Tuberculosis, Pulmonary / complications* Ventilators, Mechanical / adverse effects* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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