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Intraoral ulcer due to non-invasive positive pressure ventilation: an overlooked complication

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A male patient aged 81 years reported with dyspnoea and loss of consciousness, at our emergency department. His respiratory rate was 30 breaths/min, and his level of consciousness determined using… Click to show full abstract

A male patient aged 81 years reported with dyspnoea and loss of consciousness, at our emergency department. His respiratory rate was 30 breaths/min, and his level of consciousness determined using the Glasgow Coma Scale was eye (1), verbal (1) and motor (4). Despite oxygen administration via a bag valve mask, his percutaneous oxygen saturation level was measured as only 81%. Physical examination revealed weak vesicular sound on auscultation, suggesting he had severe emphysema. Arterial blood gas analysis after …

Keywords: ulcer due; intraoral ulcer; non invasive; due non; positive pressure; invasive positive

Journal Title: BMJ Case Reports
Year Published: 2017

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