Non-invasive continuous positive airway pressure in monolateral lung transplant patient with pneumonia and IPF

https://doi.org/10.4081/monaldi.2010.289

Authors

  • S. Aliberti | stefano.aliberti@policlinico.mi.it Dipartimento toraco-polmonare e cardio-circolatorio, University of Milan, IRCCS Fondazione Po.Ma.Re, Milano, Italy.
  • M.C. Andrisani Radiology Department, IRCCS Fondazione Po.Ma.Re, Milano, Italy.
  • P. Tarsia Dipartimento toraco-polmonare e cardio-circolatorio, University of Milan, IRCCS Fondazione Po.Ma.Re, Milano, Italy.
  • R. Trevisan Radiology Department, IRCCS Fondazione Po.Ma.Re, Milano, Italy.
  • R. Cosentini Emergency Medicine Department, IRCCS Fondazione Po.Ma.Re, Milano, Italy.
  • L. Longhi Radiology Department, IRCCS Fondazione Po.Ma.Re, Milano, Italy.
  • M. Pappalettera Dipartimento toraco-polmonare e cardio-circolatorio, University of Milan, IRCCS Fondazione Po.Ma.Re, Milano, Italy.
  • M. Nosotti Dipartimento toraco-polmonare e cardio-circolatorio, University of Milan, IRCCS Fondazione Po.Ma.Re, Milano, Italy.
  • F. Blasi Dipartimento toraco-polmonare e cardio-circolatorio, University of Milan, IRCCS Fondazione Po.Ma.Re, Milano, Italy.

Abstract

Patients who undergo lung transplantation are prone to develop lower respiratory tract infections, leading to severe acute respiratory failure (ARF). Endotracheal intubation may not be indicated in these patients in light of a higher rate of mortality due to infections. The application of non-invasive ventilation could play a role in bridging these patients through the episode of ARF waiting for medical treatment to have effect. We report the evidence of morphological and physiological effects of the application of non-invasive continuous positive airway pressure during ARF sustained by pneumonia in a patient who underwent left lung transplantation because of idiopathic pulmonary fibrosis (IPF). We studied the effects of the application of positive end-expiratory pressure on both the right native lung affected by IPF and the transplanted lung affected by pneumonia.

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Published
2016-01-19
Info
Issue
Section
Case Reports
Keywords:
CPAP, Pneumonia, Idiopathic pulmonary fibrosis, CT, Echo
Statistics
  • Abstract views: 379

  • PDF: 306
How to Cite
Aliberti, S., M.C. Andrisani, P. Tarsia, R. Trevisan, R. Cosentini, L. Longhi, M. Pappalettera, M. Nosotti, and F. Blasi. 2016. “Non-Invasive Continuous Positive Airway Pressure in Monolateral Lung Transplant Patient With Pneumonia and IPF”. Monaldi Archives for Chest Disease 73 (4). https://doi.org/10.4081/monaldi.2010.289.