Related Experiment Video

Updated: Apr 25, 2026

Insertion, Maintenance, and Removal of the Percutaneous Dual Lumen Cannula Right Ventricular Assist Device
07:41

Insertion, Maintenance, and Removal of the Percutaneous Dual Lumen Cannula Right Ventricular Assist Device

Published on: July 20, 2022

2.1K

Complications with utilization of positive-pressure devices in a young man with duchenne muscular dystrophy

Scott L Gee1, Gary R Lowe2, Robert H Warren3

  • 1Respiratory Care Services, Arkansas Children's Hospital, Little Rock, Arkansas.

Respiratory Care
|August 28, 2014
PubMed

Insights

Positive-pressure ventilation for Duchenne muscular dystrophy can cause rare tympanic membrane perforations. Balancing pressure reduction and ventilation is key for healing.

Area of Science:

  • Neurology
  • Otolaryngology
  • Pulmonology

Background:

  • Patients with Duchenne muscular dystrophy (DMD) experience progressive muscle weakness, necessitating respiratory support.
  • Positive-pressure devices are crucial for maintaining bronchial hygiene and adequate ventilation in DMD patients.
  • The use of these devices can present unique challenges in managing patient care.

Observation:

  • A case study involving a 19-year-old male with DMD is presented.
  • The patient developed a perforated right tympanic membrane (TM) after using positive-pressure ventilation devices.
  • TM perforation is an uncommon complication associated with positive-pressure device use.

Findings:

  • The case highlights a rare instance of tympanic membrane perforation linked to positive-pressure ventilation in a DMD patient.
  • Management required careful consideration of pressure settings to ensure effective ventilation while promoting TM healing.
  • This underscores the need for vigilance regarding potential otologic complications in this patient population.

Implications:

  • Clinicians should be aware of the potential for TM perforation in DMD patients using positive-pressure devices.
  • Therapeutic strategies may need adjustment to mitigate otologic risks without compromising respiratory support.
  • Further research into the mechanisms and prevention of TM perforation in this context is warranted.
Keywords:
insufflator-exsufflatormyringorupturenoninvasive ventilationperforated tympanic membranepositive-pressure ventilation

More Related Videos

Measurements of Motor Function and Other Clinical Outcome Parameters in Ambulant Children with Duchenne Muscular Dystrophy09:18

Measurements of Motor Function and Other Clinical Outcome Parameters in Ambulant Children with Duchenne Muscular Dystrophy

Published on: January 12, 2019

10.0K
Dosage-Adjusted Resistance Training in Mice with a Reduced Risk of Muscle Damage07:29

Dosage-Adjusted Resistance Training in Mice with a Reduced Risk of Muscle Damage

Published on: August 31, 2022

1.6K

Related Concept Videos

Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.01:25

Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.

Understanding the variety of primary symptoms and systemic complications that characterize chronic obstructive pulmonary disease (COPD) is crucial for healthcare professionals.
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
4.0K
Mechanical Ventilation II: Invasive Ventilation01:23

Mechanical Ventilation II: Invasive Ventilation

Ventilators are essential medical equipment used to aid patients with respiratory difficulties. Their primary function is to assist or replace spontaneous breathing by providing mechanical ventilation. There are two general classes of mechanical ventilators: negative-pressure and positive-pressure ventilators.
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
1.3K
Mechanical Ventilation III: Noninvasive Ventilation01:23

Mechanical Ventilation III: Noninvasive Ventilation

Noninvasive positive-pressure ventilation (NIPPV), continuous positive airway pressure (CPAP), and bilevel positive airway pressure (BiPAP) are essential methods in respiratory care. These ventilation techniques offer unique benefits for patients with various respiratory conditions, providing adequate support without requiring intubation. Let's explore how each method is crucial in improving patient outcomes and enhancing respiratory therapy.
Noninvasive Positive-Pressure Ventilation...
922
Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications01:25

Peritoneal Dialysis II: Peritoneal Dialysis Systems and Complications

Peritoneal dialysis (PD) is a medical process that removes waste products and excess fluid from the body using the peritoneal membrane as a natural filter.Peritoneal Dialysis MethodsSeveral methods can be used for peritoneal dialysis, including Acute Intermittent Peritoneal Dialysis, Continuous Ambulatory Peritoneal Dialysis, and Automated Peritoneal Dialysis, also known as Continuous Cyclic Peritoneal Dialysis.Acute Intermittent Peritoneal Dialysis (AIPD) is used for patients with uremic...
2.1K
Mechanical Ventilation I: Indication and Settings01:29

Mechanical Ventilation I: Indication and Settings

Mechanical ventilation is a life-saving technique for managing acute respiratory failure and other respiratory complications. The process involves using a machine known as a ventilator to supply oxygen to the lungs and assist in removing carbon dioxide. It serves as a bridge to long-term mechanical ventilation or a temporary measure until ventilatory support is discontinued. The ventilator can maintain this function for a prolonged period, providing critical support for patients until they can...
4.1K
Pneumothorax II: Pathophysiology01:08

Pneumothorax II: Pathophysiology

Pneumothorax means the presence of air in the pleural space — the thin potential gap between the visceral and parietal pleura. This condition disrupts the normal pressure balance that keeps the lungs inflated, leading to partial or complete collapse of the affected lung.Normal physiologyUnder normal conditions, the pleural space maintains a slightly negative intrapleural pressure, which keeps the lungs expanded against the chest wall. This negative pressure creates a delicate balance...
41