Successful High Flow Nasal Oxygen Therapy for Excessive Dynamic Airway Collapse: A Case Report.

ABSTRACT: Excessive dynamic airway collapse (EDAC) is a disease entity of excessive reduction of the central airway diameter during exhalation, without cartilage collapse. An 80-year-old female presented with generalized edema and dyspnea at our hospital. The patient was in a state of acute decompensated heart failure due to pneumonia with respiratory failure. We accordingly managed the patient with renal replacement therapy, mechanical ventilation and antibiotics. Bronchoscopy confirmed the diagnosis of EDAC. We scheduled extubation after the improvement of pneumonia and heart condition. However, extubation failure occurred due to hypercapnic respiratory failure with poor expectoration. Her EDAC was improved in response to high flow nasal oxygen therapy (HFNOT). Subsequently, the patient was stabil

SUBMITTER: Park J 

PROVIDER: S-EPMC4620351 | biostudies-literature | 2015 Oct

REPOSITORIES: biostudies-literature