Abstract |
Air swallowing can occur as a psychogenic phenomenon, because of abnormal anatomy, or during non-invasive positive pressure ventilation. Gross distension of the stomach with air can have severe consequences for the respiratory and gastrointestinal systems. We report the case of a 62-year-old man with severe dynamic hyperinflation due to chronic obstructive pulmonary disease, who developed respiratory failure requiring intubation a few hours after radical prostatectomy. Following a percutaneous tracheostomy and weaning of sedation on day six, his abdomen began to enlarge progressively. X-rays revealed massive gastric distension due to air swallowing, which continued despite all efforts to optimise therapy. The use of an underwater seal drainage system on a nasogastric tube improved ventilation and ultimately aided weaning from mechanical support.
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Authors | A W Solomon, J C Bramall, J Ball |
Journal | Anaesthesia
(Anaesthesia)
Vol. 66
Issue 2
Pg. 124-6
(Feb 2011)
ISSN: 1365-2044 [Electronic] England |
PMID | 21128904
(Publication Type: Case Reports, Journal Article)
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Copyright | © 2010 The Authors. Anaesthesia © 2010 The Association of Anaesthetists of Great Britain and Ireland. |
Chemical References |
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Topics |
- Aerophagy
(etiology, therapy)
- Drainage
(instrumentation, methods)
- Humans
- Intubation, Gastrointestinal
(methods)
- Male
- Middle Aged
- Nasal Cavity
- Postoperative Care
(methods)
- Prostatectomy
- Pulmonary Disease, Chronic Obstructive
(complications)
- Ventilator Weaning
- Water
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