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Canadian Respiratory Journal
Volume 11 (2004), Issue 2, Pages 159-162
http://dx.doi.org/10.1155/2004/971743
Case Report

Hemopneumothorax in a COPD Patient Treated with Noninvasive Positive Pressure Ventilation: The Risk of Attendant Anticoagulation

R Raghavan,1 AK Ellis,1 W Wobeser,2 KB Sutherland,3 and DE O'Donnell4

1Department of Medicine, Queen’s University, Kingston, Ontario, Canada
2Division of Infectious Disease, Department of Medicine, Queen’s University, Kingston, Ontario, Canada
3Department of Diagnostic Radiology, Queen’s University, Kingston, Ontario, Canada
4Division of Respiratory and Critical Care Medicine, Department of Medicine, Queen’s University, Kingston, Ontario, Canada

Copyright © 2004 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Noninvasive positive pressure ventilation (NIPPV) modalities have been proven to be effective in the setting of exacerbations of chronic obstructive pulmonary disease (COPD). Reported complications include pneumothorax, increased work of breathing, gastric distension and air embolism. This case demonstrates that patients with severe COPD on anticoagulant therapy are potentially at risk for the serious complication of combined lung barotrauma and hemorrhage while on acute NIPPV therapy. This is the first reported case of hemopneumothorax complicating NIPPV therapy.