Hung S C, Hsu H C, Chang S C
Dept of Medicine, Veterans General Hospital, Taipei, Taiwan, ROC.
Eur Respir J. 1998 Jul;12(1):235-7. doi: 10.1183/09031936.98.12010235.
A 13 yr old male with acute lymphoblastic leukaemia who received bilevel positive airway pressure ventilation via a face mask for post-transplant pneumonitis developed subcutaneous emphysema, radiographic evidence of pulmonary interstitial emphysema, pneumomediastinum and 6 h later, right hemiparesis and focal livedo reticularis. This case illustrates that severe barotrauma may complicate noninvasive bilevel positive airway pressure ventilation.
