Acute Respiratory Failure and Intensive Measures

被引:0
作者
McLean, Barbara A. [1 ]
机构
[1] Emory Univ, Grady Mem Hosp, Div Crit Care, Atlanta, GA 30303 USA
关键词
Oxygenation; Ventilation; Failure; Dynamics; Air trapping; COPD; VENTILATION; EXACERBATIONS;
D O I
10.1016/j.ccell.2012.06.008
中图分类号
R47 [护理学];
学科分类号
1011 ;
摘要
Acute Respiratory Failure and Intensive Measures Barbara A. McLean Critical patients presenting with acute respiratory failure (ARF) offer a plentiful, dynamic, and complex picture, which requires a deep understanding of gas exchange, pulmonary dynamics, and mechanical ventilation strategies. The most frequent cause of ARF is chronic disease with exacerbation. Interventions treating acute exacerbation, along with ventilatory support, physical therapy, and evidence-based strategies, may improve immediate outcomes. However, follow-up is essential and for the chronic obstructive pulmonary disease patient the goal is to avoid relapse or rehospitalization. This article discusses the evaluation of gas exchange failures, pulmonary mechanics, and the properties of obstructive airway disease as they relate to ARF.
引用
收藏
页码:361 / +
页数:16
相关论文
共 13 条
[1]   Early activity is feasible and safe in respiratory failure patients [J].
Bailey, Polly ;
Thomsen, George E. ;
Spuhler, Vicki J. ;
Blair, Robert ;
Jewkes, James ;
Bezdjian, Louise ;
Veale, Kristy ;
Rodriquez, Larissa ;
Hopkins, Ramona O. .
CRITICAL CARE MEDICINE, 2007, 35 (01) :139-145
[2]   Mortality in COPD: Causes, Risk Factors, and Prevention [J].
Berry, Cristine E. ;
Wise, Robert A. .
COPD-JOURNAL OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE, 2010, 7 (05) :375-382
[3]   Left Ventricular Diastolic Dysfunction in COPD May Manifest Myocardial Ischemia [J].
Bhattacharyya, Parthasarathi ;
Acharjee, Dipabali ;
Ray, Soumendra Nath ;
Sharma, Ranjan Kumar ;
Tiwari, Pradeep ;
Paul, Rantu ;
De, Nilratan ;
Nag, Saikat ;
Bardhan, Sujan ;
Dey, Rana ;
Ghosh, Malabika ;
Dey, Ratna ;
Sharma, Surinder K. .
COPD-JOURNAL OF CHRONIC OBSTRUCTIVE PULMONARY DISEASE, 2012, 9 (03) :305-309
[4]   Noninvasive positive pressure ventilation in critical and palliative care settings: Understanding the goals of therapy [J].
Curtis, J. Randall ;
Cook, Deborah J. ;
Sinuff, Tasnim ;
White, Douglas B. ;
Hill, Nicholas ;
Keenan, Sean P. ;
Benditt, Joshua O. ;
Kacmarek, Robert ;
Kirchhoff, Karin T. ;
Levy, Mitchell M. .
CRITICAL CARE MEDICINE, 2007, 35 (03) :932-939
[5]   COPD exacerbations 1: Epidemiology [J].
Donaldson, GC ;
Wedzicha, JA .
THORAX, 2006, 61 (02) :164-168
[6]  
Global initiative for chronic Obstructive Lung Disease (GOLD), GLOB STRAT DIAGN MAN
[7]   Transforming ICU culture to facilitate early mobility [J].
Hopkins, Ramona O. ;
Spuhler, Vicki J. ;
Thomsen, George E. .
CRITICAL CARE CLINICS, 2007, 23 (01) :81-+
[8]   A multicenter, randomized trial of noninvasive ventilation with helium-oxygen mixture in exacerbations of chronic obstructive lung disease [J].
Maggiore, Salvatore Maurizio ;
Richard, Jean-Christophe M. ;
Abroug, Fekri ;
Diehl, Jean Luc ;
Antonelli, Massimo ;
Sauder, Philippe ;
Mancebo, Jordi ;
Ferrer, Miquel ;
Lellouche, Francois ;
Lecourt, Laurent ;
Beduneau, Gaetan ;
Brochard, Laurent .
CRITICAL CARE MEDICINE, 2010, 38 (01) :145-151
[9]   COPD - Epidemiology, prevalence, morbidity and mortality, and disease heterogeneity [J].
Mannino, DM .
CHEST, 2002, 121 (05) :121S-126S
[10]   Mobilizing patients in the intensive care unit - Improving neuromuscular weakness and physical function [J].
Needham, Dale M. .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2008, 300 (14) :1685-1690