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|Title:||Pneumothorax in neuromuscular disease associated with lung volume recruitment and mechanical insufflation-exsufflation.|
|Authors:||McDonald, Luke Andrew;Berlowitz, David J;Howard, Mark E;Rautela, Linda;Chao, Caroline;Sheers, Nicole|
|Affiliation:||Department of Physiotherapy The University of Melbourne Parkville Victoria Australia|
Department of Physiotherapy, Austin Health, Heidelberg, Victoria, Australia
Department of Respiratory and Sleep Medicine, Austin Health, Heidelberg, Victoria, Australia
Institute for Breathing and Sleep, Austin Health, Heidelberg, Victoria, Australia
|Citation:||Respirology case reports 2019;7(6):e00447|
|Abstract:||A 25-year-old male with Duchenne muscular dystrophy and a 73-year-old male with motor neurone disease both presented with chest pain and increasing dyspnoea following routine mechanical insufflation-exsufflation or lung volume recruitment, on a background of long-term non-invasive ventilation. In each case, chest radiograph revealed a pneumothorax. In both cases the pneumothorax fully resolved following insertion of an intercostal catheter. There was no immediate recurrence and the patients were discharged home and ceased ongoing prophylactic respiratory therapy, although one person had recurrent pneumothoraces subsequently. This rare but serious complication highlights the need for careful risk/benefit analysis by clinicians prescribing these therapies.|
|Subjects:||Lung volume recruitment|
|Appears in Collections:||Journal articles|
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