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The administration of positive pressure ventilation, either mechanical ventilation or non-invasive ventilation, can result in barotrauma (pressure-related injury) leading to a pneumothorax. [ 13 ] Divers who breathe from an underwater apparatus are supplied with breathing gas at ambient pressure , which results in their lungs containing gas at ...
This allows much better ventilation, with improved tidal volume, and increased blood oxygenation. Positive pressure ventilation, meticulously adjusting the ventilator settings to avoid pulmonary barotrauma. Chest tubes as required. Adjustment of position to make the person most comfortable and provide relief of pain. Aggressive pulmonary toilet
Positive end-expiratory pressure (PEEP), which delivers air at a given pressure at the end of the expiratory cycle, can reduce edema and keep alveoli from collapsing. [13] PEEP is considered necessary with mechanical ventilation; however, if the pressure is too great it can expand the size of the contusion [17] and injure the lung. [39]
Barotrauma is physical damage to body tissues caused by a difference in pressure between a gas space inside, or in contact with, the body and the surrounding gas or liquid. [1] [2] The initial damage is usually due to over-stretching the tissues in tension or shear, either directly by an expansion of the gas in the closed space or by pressure difference hydrostatically transmitted through the ...
In addition, in the patient undergoing positive-pressure ventilation, the detection of an otherwise ‘occult’ pneumothorax prior to CT scanning may hasten treatment and subsequently prevent development of a tension pneumothorax, a deadly complication if not treated immediately, and deterioration in the radiology suite (in the CT scanner). [9]
Since mechanical ventilation can worsen a pneumothorax, it can force air into the tissues; when subcutaneous emphysema occurs in a ventilated patient, it is an indication that the ventilation may have caused a pneumothorax. [2] It is not unusual for subcutaneous emphysema to result from positive pressure ventilation. [25]
During positive pressure ventilation, atelectatic regions will inflate, however, the alveoli will be unstable and will collapse during the expiratory phase of the breath (atelectotrauma). This repeated alveolar collapse and expansion (RACE) is thought to cause VALI. By opening the lung and keeping the lung open RACE (and VALI) is reduced. [7]
Intermittent positive pressure breathing (IPPB) is a respiratory therapy treatment for people who are hypoventilating. While not a preferred method due to cost, [ 1 ] IPPB is used to expand the lungs, deliver aerosol medications, and in some circumstances ventilate the patient.