Nasal oxygen in exacerbations of ventilatory failure: an underappreciated risk.
نویسندگان
چکیده
The working party on the GMC in the 1990s opted for a compromise and recommended that "a member of staff should be trained to handle press and public relations matters on behalf of the council." The council has, however, decided to appoint a full time press and public relations officer and the post has been advertised. But what may be needed more than a person to do the job is a change of attitude.
منابع مشابه
Oxygen therapy in acute exacerbations of chronic obstructive pulmonary disease
Acute exacerbations of chronic obstructive pulmonary disease (COPD) are important events in the history of this debilitating lung condition. Associated health care utilization and morbidity are high, and many patients require supplemental oxygen or ventilatory support. The last 2 decades have seen a substantial increase in our understanding of the best way to manage the respiratory failure suff...
متن کاملComparison of the acute effects on gas exchange of nasal ventilation and doxapram in exacerbations of chronic obstructive pulmonary disease.
BACKGROUND Nasal intermittent positive pressure ventilation (NIPPV) is useful in exacerbations of chronic obstructive pulmonary disease (COPD) complicated by ventilatory failure. The effects of NIPPV were compared with those of the respiratory stimulant doxapram on gas exchange in patients with COPD and acute ventilatory failure. METHODS Patients admitted with acute exacerbations of COPD and ...
متن کامل[Increased inspiratory oxygen fractions (FIO2) using a conventional drug delivery nebuliser].
UNLABELLED Nebulised drugs are very useful in COPD exacerbations. The most frequently used propellant is compressed air, which is commonly administered together with nasal oxygen in those patients with respiratory failure. The purpose of this approach is to avoid the risks inherent in breathing high inspiratory oxygen fractions (FIO(2)). AIM To analyze the actual FIO(2) obtained with such a c...
متن کاملTreatment of ventilatory failure in the Prader-Willi syndrome.
Hypercapnic respiratory failure is a common cause of death in the Prader-Willi syndrome. Its relationship to sleep-disordered breathing has not been established and there are no reports of its successful treatment. We have retrospectively reviewed the records of four patients with the syndrome, who developed ventilatory failure. Daytime arterial blood gas tensions and overnight oximetry traces ...
متن کاملChronic obstructive pulmonary disease v 9: Management of ventilatory failure in COPD
MANAGEMENT OF RESPIRATORY FAILURE DURING ACUTE EXACERBATIONS OF COPD The purpose of managing respiratory failure/ supporting ventilation in acute exacerbations of chronic obstructive pulmonary disease (COPD) is to prevent tissue hypoxia and control acidosis and hypercapnia while medical treatment works to maximise lung function and reverse the precipitating cause of the exacerbation. There are ...
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عنوان ژورنال:
- BMJ
دوره 299 6690 شماره
صفحات -
تاریخ انتشار 1989