Article Text
Images in emergency medicine
An unusual contraindication to the use of non-invasive ventilation in A&E
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- Non-invasive ventilation
- x-ray
- cardiac arrest
- hiatus hernia and diaphragmatic defect
- imaging, x-ray
- respiratory, COPD
- ventilation, non-invasive
A 70-year-old female smoker with known chronic obstructive pulmonary disease presented in A&E with increasing breathlessness. Arterial blood gas showed respiratory failure with marked acidosis. She was commenced on non-invasive ventilation (NIV) and after 2 hours suffered a cardiac arrest. Four minutes …
Footnotes
Competing interests None.
Patient consent Obtained.
Provenance and peer review Not commissioned; externally peer reviewed.