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Title: Pneumothorax in neuromuscular disease associated with lung volume recruitment and mechanical insufflation-exsufflation.
Austin Authors: McDonald, Luke A ;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
Issue Date: Aug-2019
Date: 2019
Publication information: 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.
DOI: 10.1002/rcr2.447
ORCID: 0000-0001-8364-5995
Journal: Respirology case reports
PubMed URL: 31210952
ISSN: 2051-3380
Type: Journal Article
Subjects: Lung volume recruitment
neuromuscular disease
respiratory therapy
Appears in Collections:Journal articles

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