Critical care in the emergency department: acute respiratory failure

被引：8
作者：
Nee, Patrick A. [1 ]
Al-Jubouri, Mohammad A. [1 ]
Gray, Alasdair J. [2 ]
O'Donnell, Charlie [3 ]
Strong, Dan [4 ]
机构：
[1] St Helens & Knowsley Teaching Hosp NHS Trust, Whiston Hosp, Prescot L35 5DR, Merseyside, England
[2] Royal Infirm Edinburgh NHS Trust, Edinburgh, Midlothian, Scotland
[3] Whipps Cross Univ Hosp, London, England
[4] Univ Hosp Coventry & Warwickshire NHS Trust, Coventry, W Midlands, England
来源：
EMERGENCY MEDICINE JOURNAL | 2011年 / 28卷 / 02期
关键词：
POSITIVE-PRESSURE VENTILATION; OBSTRUCTIVE PULMONARY-DISEASE; NONINVASIVE VENTILATION; MECHANICAL VENTILATION; NATRIURETIC PEPTIDE; ACUTE EXACERBATIONS; STATUS-ASTHMATICUS; AIRWAY PRESSURE; HEART-FAILURE; COPD;
D O I：
10.1136/emj.2005.030643
中图分类号：
R4 [临床医学];
学科分类号：
1002 ; 100602 ;
摘要：
Acute respiratory failure (ARF) is a frequent emergency department (ED) presentation. The definition and common causes of ARF are discussed in this article and ED management of the condition is discussed, using an illustrative case report. The paper considers the role of B-type natriuretic peptide in diagnosis and non-invasive ventilation (NIV) in treatment. Intensive care unit admission denial is common in ARF, although the evidence base is lacking. Finally, the decision-making process is described when a patient with ARF fails to improve with NIV.
引用
收藏
页码：94 / 97
页数：4
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