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Severe bullous emphysema and hypercapnia successfully treated by bronchoscopic lung volume reduction |
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| Authors: | Kazuyuki TSUJINO Shinji SASADA Masami KODAMA Hideki ISHIHARA AND Ichiro KAWASE |
| Affiliation: | Departments of Thoracic Malignancy and;Respiratory Medicine, Osaka Prefectural Medical Center for Respiratory and Allergic Diseases, Habikino-shi, and;Department of Respiratory Medicine, Allergy and Rheumatic Diseases, Osaka University Graduate School of Medicine, Osaka, Japan |
| Abstract: | Patients with severe COPD may develop hypercapnic respiratory failure requiring mechanical ventilation and are at risk of becoming ventilator-dependent. We describe a patient with uncontrollable hypercapnic respiratory failure on mechanical ventilation whose respiratory condition and life were improved after bronchoscopic lung volume reduction. Further discussion of the possibility of bronchoscopic lung volume reduction in patients who require mechanical ventilation due to hypercapnic respiratory failure is warranted. |
| Keywords: | chronic obstructive pulmonary disease emphysema bronchoscopy and interventional technique |