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Remarkable improvement in a very severe chronic obstructive pulmonary disorder patient after use of noninvasive intermittent positive pressure ventilator: A case report

 Ji Ho Jung  ;  Young Ho Lim  ;  Jang Woo Lee  ;  Won Ah Choi  ;  Mi Ri Suh  ;  Seong-Woong Kang 
 Medicine, Vol.97(43) : e12877, 2018 
Journal Title
Issue Date
Activities of Daily Living/psychology ; Adult ; Bone Marrow Transplantation/adverse effects ; Deglutition Disorders/etiology ; Deglutition Disorders/physiopathology ; Disease Progression ; Humans ; Male ; Noninvasive Ventilation/methods ; Noninvasive Ventilation/psychology ; Oxygen/therapeutic use ; Positive-Pressure Respiration/methods* ; Positive-Pressure Respiration/psychology ; Pulmonary Disease, Chronic Obstructive/diagnosis* ; Pulmonary Disease, Chronic Obstructive/physiopathology ; Pulmonary Disease, Chronic Obstructive/therapy* ; Quality of Life/psychology ; Respiratory Function Tests/methods ; Treatment Outcome
RATIONAL: Chronic obstructive pulmonary disease (COPD) impairs lung function and induces systemic effects, resulting in impaired quality of life. Skeletal muscle dysfunction-characteristic of advanced COPD patients-limits a patient's ability to perform activities of daily living (ADL). In addition, dysphagia is commonly observed in COPD patients. PATIENT CONCERN: This case report documents a 42-year-old man with very severe COPD. He experienced aggravation of the symptoms during standard medical treatment and his ability to perform the ADL was significantly impaired. Furthermore, his dysphagia worsened despite oromotor training. DIAGNOSIS: He was diagnosed as very severe COPD have a problem with swallowing and respiratory function. INTERVENTION: Upon NIPPV treatment, the patient's ability to perform the ADL, as well as his dysphagia, showed improvement. OUTCOMES: Thus, we report the remarkable improvement of physical function, as well as dysphagia, in a very severe COPD patient after NIPPV treatment. LESSONS: NIPPV may be useful as a treatment option for such patients.
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1. College of Medicine (의과대학) > Dept. of Rehabilitation Medicine (재활의학교실) > 1. Journal Papers
Yonsei Authors
강성웅(Kang, Seong Woong) ORCID logo https://orcid.org/0000-0002-7279-3893
최원아(Choi, Won Ah) ORCID logo https://orcid.org/0000-0003-0403-8869
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