Acute Respiratory Failure and Ventilatory Management
نویسندگان
چکیده
*Lieutenant Colonel, Medical Corps, U.S. Army; Department of Surgery, Critical Care Service, Brooke Army Medical Center, San Antonio, Texas 78234-6200 †Lieutenant Colonel, Medical Corps, U.S. Army Reserve; formerly, Director, Surgical Critical Care and Staff, General Surgery Service, Fitzsimons Army Medical Center, Aurora, Colorado 80045-5001; currently, Assistant Professor of Surgery and Critical Care Medicine, Interim Director, Surgical Critical Care, State University of New York Health Science Center of Syracuse, 750 East Adams Street, Syracuse, New York 13210 ‡Formerly, Major, Medical Corps, U.S. Army; Staff Anesthesiologist, Staff Intensivist, Anesthesia and Operative Services, Walter Reed Army Medical Center, Washington, D. C. 20307-5001; currently, Assistant Professor of Anesthesiology, University of Florida College of Medicine, Gainesville, Florida 32608-1197; Codirector, Surgical Intensive Care Unit, Veterans Affairs Medical Center, P. O. Box 100254, Gainesville, Florida 32610-0254 INTRODUCTION
منابع مشابه
Early Effectiveness of Noninvasive Positive Pressure Ventilation on Right Ventricular Function in Chronic Obstructive Pulmonary Disease Subjects with Acute Hypercapnic Respiratory Failure
Introduction: Noninvasive positive pressure ventilation (NIPPV) has become an integral tool in the management of acute hypercapnic respiratory failure (AHRF) in chronic obstructive pulmonary disease (COPD). This study was performed to evaluate the early effects of NIPPV on pulmonary artery pressure (PAP), serum N-terminal pro BNP (NT-proBNP), and ventilatory parameters in the COPD patients with...
متن کاملClinical review: Ventilatory strategies for obstetric, brain-injured and obese patients
The ventilatory management of patients with acute respiratory failure is supported by good evidence, aiming to reduce lung injury by pressure limitation and reducing the duration of ventilatory support by regular assessment for discontinuation. Certain patient groups, however, due to their altered physiology or disease-specific complications, may require some variation in usual ventilatory mana...
متن کاملVentilatory failure on acute take.
The optimal management of acute ventilatory failure lies in a multidisciplinary approach focusing on doing simple things correctly, close liaison between healthcare professionals and adequate communication with patients and carers. The use of NIV support is increasing in a variety of conditions, both inside and outside the ICU.
متن کاملThe management of acute ventilatory failure in chronic obstructive lung disease.
CUTE VENTILATORY FAILURE, GENERALly defined as an abrupt increase in carbon dioxide tension, is a common complication of chronic obstructive lung disease. When severe and uncompensated, coma and death may result unless heroic measures are taken to assist or stimulate respiration. However, milder episodes of carbon dioxide retention also occur in patients with the “emphysema-bronchitis syndrome,...
متن کاملControlled ventilation with intermittent positive-pressure breathing in the management of acute ventilatory failure associated with chronic obstructive pulmonary disease.
C ONTROLLED MECHANICAL VENTILATION may be employed for ventilatory support in patients with respiratory failure when assisted ventilation fails . The purpose of controlled ventilation is to reduce patient respiratory control and effort and to substitute adequate artificial ventilation, thereby providing time for appropriate medical therapy . With improvement the patient's own ventilatory effort...
متن کاملRespiratory mechanics in the patient who is weaning from the ventilator.
Ventilator management of the patient recovering from acute respiratory failure must balance competing objectives. On the one hand, aggressive efforts to promptly discontinue support and remove the artificial airway reduce the risk of ventilator-induced lung injury, nosocomial pneumonia, airway trauma from the endotracheal tube, and unnecessary sedation. On the other hand, overly aggressive, pre...
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