Acute Respiratory Failure During Systemic Chemotherapy

Buprenorphine-induced acute respiratory depression during ifosfamide-based chemotherapy.

Buprenorphine is a potent, semi-synthetic opioid analgesic derived from thebaine. The drug displays the characteristics of an agonist at the mu receptors and antagonist at the kappa receptors. Although buprenorphine has shown some pharmacological effects on delta and kappa opioid receptors, the action on the mu receptors appears to be responsible for most of the analgesic effects associated wit...

Breathing pattern during acute respiratory failure and recovery.

The objective of this study was to compare the breathing pattern of patients who failed to wean from mechanical ventilation to the pattern during acute respiratory failure. We hypothesized that a similar breathing pattern occurs under both conditions. Breathing pattern, mouth occlusion pressure (P[0.1]) and maximum inspiratory pressure (P[I,max]) were measured in 15 patients during acute respir...

Acute Eosinophilic Pneumonia Leading to Acute Respiratory Failure in a Current Systemic Corticosteroid User

A 69-year-old female patient visited the emergency room with fever (38.3℃) and dyspnea. She had been taking prednisolone (5 mg once per day) and methotrexate (2.5 mg once per week) for rheumatoid arthritis for 2 years. Chest computed tomography (CT) showed bilateral, multifocal ground glass opacity with interlobular septal thickening. Peripheral blood leukocyte count was 6,520/mm(3) (neutrophil...

Acute respiratory failure in asthma

A b st ra ct Although asthma is a condition that is managed in the outpatient setting in most patients, the poorly control­ led and severe cases pose a major challenge to the health-care team. Recognition of the more common insidious and the less common rapid onset “acute asphyxic” asthma are important. The intensivist needs to be familiar with the factors that denote severity of the exacerbati...

Tracheostomy for acute respiratory failure.