Journal article
Acute on Chronic Respiratory Failure: Assessment and Management of Patients With COPD in the Emergent Setting
JAMA : the journal of the American Medical Association, Vol.261(23), pp.3444-3453
06/16/1989
DOI: 10.1001/jama.1989.03420230098035
Abstract
Patients with acute on chronic respiratory failure exhibit severe pulmonary impairment as a baseline characteristic. Additional minor insults can precipitate cardiopulmonary failure that requires hospital admission and possibly mechanical ventilation. Our approach to these patients emphasizes evaluation of the imbalance between neuromuscular competence and mechanical load on the respiratory system. In this way, reversible factors can be identified and corrected before they progress to inspiratory muscle fatigue and respiratory failure. For cases in which deterioration is inexorable, guidelines for mechanical ventilation are given and approaches to eventual liberation from the ventilator are reviewed.(JAMA. 1989;261:3444-3453)
Details
- Title: Subtitle
- Acute on Chronic Respiratory Failure: Assessment and Management of Patients With COPD in the Emergent Setting
- Creators
- Gregory A Schmidt - University of ChicagoJesse B Hall
- Resource Type
- Journal article
- Publication Details
- JAMA : the journal of the American Medical Association, Vol.261(23), pp.3444-3453
- Publisher
- American Medical Association
- DOI
- 10.1001/jama.1989.03420230098035
- ISSN
- 0098-7484
- eISSN
- 1538-3598
- Language
- English
- Date published
- 06/16/1989
- Academic Unit
- Pulmonary, Critical Care, and Occupational Medicine; Internal Medicine
- Record Identifier
- 9984359660502771
Metrics
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