Korean J Anesthesiol.  1997 Dec;33(6):1207-1211. 10.4097/kjae.1997.33.6.1207.

Nasal Mask BiPAP for the Chronic Obstructive Pulmonary Disease with Kyphoscoliosis

• Koh SO
• Park BH
• Bang EC
• Chon SS
• Nam YT
• Lee WY

• KMID: 2299271
• DOI: http://doi.org/10.4097/kjae.1997.33.6.1207

Abstract

Chronic fatigue of the respiratory muscles has contributed to the decreased ventilatory capacity and reduced excercise tolerance of individuals with COPD, especially in kyphoscoliosis. Nasal mask BiPAP has been shown to be useful for the patient with nocturnal muscle fatigue and COPD. A 35-year-old man with severe kyphoscoliosis was admitted to ICU due to acute respiratory failure. He had been diagnosed of COPD and had been intubated with mechanical ventilatory support for 7 times. This time he was intubated with ventilatory support, too, in ICU and readmitted to the ICU for severe hypoxemia and hypercarbia from general ward. Thereafter he refused the intubation. Nasal mask BiPAP ventilatory support system was applied and IPAP, EPAP level being adjusted to the 12, 4 cmH2O under monitoring vital signs and arterial blood gas analysis. His condition was improved and discharged home with support of nasal mask BiPAP system after 33 day-stay in the ICU.

Keyword

Airway, nasal mask; Lung, disease, COPD, Kyphoscoliosis, muscle fatigue; Ventilation, BiPAP ventilatory support system

MeSH Terms

Adult
Anoxia
Blood Gas Analysis
Fatigue
Humans
Intubation
Masks*
Muscle Fatigue
Patients' Rooms
Pulmonary Disease, Chronic Obstructive*
Respiratory Insufficiency
Respiratory Muscles
Vital Signs