Intraoperative use of noninvasive ventilation during spinal anaesthesia in patients with severe chronic obstructive pulmonary disease undergoing orthopaedic surgery: A case report.
Misoon LeeJinyoung SoYounghoon WooYang-Hoon ChungBon-Sung KooPublished in: The Journal of international medical research (2022)
Compared with invasive mechanical ventilation, noninvasive ventilation (NIV) improves patient comfort and neurocognitive function; and reduces the likelihood of nosocomial infections and the need for sedation. NIV can also be used perioperatively to prevent postoperative pulmonary complications. This current report describes a case of a 64-year-old female patient with chronic obstructive pulmonary disease and chronic respiratory failure that underwent spinal anaesthesia during surgery. She was sedated with propofol. She brought her home ventilator equipment to the operating room and it was used in biphasic-positive airway pressure mode for immediate treatment of respiratory depression.
Keyphrases
- mechanical ventilation
- respiratory failure
- chronic obstructive pulmonary disease
- acute respiratory distress syndrome
- positive airway pressure
- intensive care unit
- minimally invasive
- coronary artery bypass
- obstructive sleep apnea
- case report
- extracorporeal membrane oxygenation
- spinal cord
- patients undergoing
- lung function
- surgical site infection
- pulmonary hypertension
- healthcare
- bipolar disorder
- depressive symptoms
- early onset
- sleep quality
- methicillin resistant staphylococcus aureus
- air pollution
- combination therapy
- drug resistant
- replacement therapy
- atrial fibrillation