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[Stomach rupture associated with noninvasive ventilation]

M Jean-Lavaleur1, V Perrier, H Roze

  • 1Département d'anesthésie réanimation II, hôpital du Haut-Lévêque, CHU de Bordeaux, 1, avenue du Haut-Lévêque, 33600 Pessac, France. may_j@hotmail.fr

Annales Francaises D'Anesthesie Et De Reanimation
|June 2, 2009
PubMed

Insights

Noninvasive positive-pressure ventilation (NIPPV) is a safe treatment for respiratory failure. A rare case of gastric perforation occurred during NIPPV, successfully treated with surgery.

Area of Science:

  • Critical Care Medicine
  • Gastroenterology
  • Pulmonology

Background:

  • Noninvasive positive-pressure ventilation (NIPPV) is a standard treatment for acute respiratory failure.
  • NIPPV is associated with reduced intubation rates and shorter ICU stays.
  • Severe complications are rare, but gastric issues like distension have been noted.

Observation:

  • This report details a rare case of gastric perforation.
  • The perforation occurred in a patient undergoing NIPPV.
  • The patient presented with a severe complication during ventilation therapy.

Findings:

  • Gastric perforation is a potential, albeit rare, complication of NIPPV.
  • Surgical intervention, specifically a primary interrupted two-layer suture, was effective.
  • Complete recovery was achieved, with the patient discharged from the ICU.

Implications:

  • Clinicians should be aware of the potential for gastric perforation during NIPPV.
  • Prompt surgical management can lead to favorable outcomes.
  • Further research may explore risk factors and preventative strategies for NIPPV-associated gastrointestinal complications.

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