Are arterial blood gases necessary in the evaluation of acutely dyspneic patients?

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Are arterial blood gases necessary in the evaluation of acutely dyspneic patients?

Arterial blood gases (ABG) are obtained commonly in dyspneic persons presenting to emergency departments. The study by Burri and colleagues found that the information contained in ABG fails to distinguish between pulmonary and other causes of dyspnea. On the other hand, arterial pH was highly predictive of ICU admission and outcome. Until large clinical studies show equivalence between peripher...

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Are blood gases necessary in mechanically ventilated patients who have successfully completed a spontaneous breathing trial?

BACKGROUND The utility of routinely obtaining arterial blood gas analyses (ABGs) prior to extubation in patients who have successfully completed a spontaneous breathing trial is not known. OBJECTIVE Review our practices and determine our extubation success rate with a policy of selective ABG utilization. METHODS Retrospective chart review. RESULTS We reviewed 54 extubations of 52 patients...

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Evaluation and management of the acutely dyspneic patient: the role of biomarkers.

The etiology of dyspnea can often be difficult to rapidly and accurately determine and can delay timely and appropriate therapies. The current literature reveals important diagnostic, prognostic, and therapeutic implications of several currently used biomarkers: sensitive d -dimer, myoglobin, creatine kinase-MB, cardiac troponins, and b-type natriuretic peptide. These biomarkers were found to h...

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Lung ultrasound—a primary survey of the acutely dyspneic patient

There has been an explosion of knowledge and application of clinical lung ultrasound (LUS) in the last decade. LUS has important applications in the ambulatory, emergency, and critical care settings and its deployability for immediate bedside assessment allows many acute lung conditions to be diagnosed and early interventional decisions made in a matter of minutes. This review detailed the scie...

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ژورنال

عنوان ژورنال: Critical Care

سال: 2011

ISSN: 1364-8535

DOI: 10.1186/cc10279