人工呼吸器からの離脱にＢｉＰＡＰが有効であったＣＯＰＤ急性増悪の１例

• 酒井 哲夫

  福井総合病院内科

• 島田 政則

  織田病院

• 石崎 武志

  福井医科大学第3内科

• 中井 継彦

  福井医科大学第3内科

書誌事項

タイトル別名

• Use of BiPAP during Weaning from Mechanical Ventilation in a Patient with Chronic Obstructive Pulmonary Disease and Acute Respiratory Failure.

抄録

In a 65-year-old man with chronic obstructive pulmonary disease and acute respiratory failure, bi-level positive airway pressure device (BiPAP^®) was used as part of weaning from mechanical ventilation. As an outpatient, he had had dyspnea of grade V (Hugh-Jones) and was hypercapnic (PaCO₂ of 70torr) and hypoxemic (PaO₂ of 60torr), while he was receiving oxygen at 2L/min via nasal cannula. Acute respiratory failure developed due to pneumonia, and mechanical ventilation was begun. However, he could not be weaned with a standard weaning technique (T-piece). On the fifth day of mechanical ventilation, he was extubated and treatment with BiPAP^® was begun. He did not complain of dyspnea even though PaCO₂ did not decrease, which indicates that BiPAP^® reduced the work of breathing. Use of BiPAP^® might make reintubation unnecessary when acute ventilatory failure develops soon after extubation in patinets with COPD.

収録刊行物

• 日本胸部疾患学会雑誌

  日本胸部疾患学会雑誌 35 (8), 894-899, 1997

  社団法人 日本呼吸器学会

キーワード

• 高炭酸ガス血症を伴うCOPD
• ウィーニング
• 非侵襲的陽圧換気

詳細情報

• CRID: 1390282679995329024
• NII論文ID: 130003679824
• NII論文ID: 10006602911
• NII書誌ID: AN00187758
• DOI: 10.11389/jjrs1963.35.894
• ISSN: 1883471X
• ISSN: 03011542
• PubMed: 9366166
• Web Site: https://search.jamas.or.jp/link/ui/1998060740
• 本文言語コード: ja
• データソース種別:
  • JaLC
  • PubMed
  • CiNii Articles
• 抄録ライセンスフラグ: 使用不可