Management of Acute Respiratory Failure: A Case Report

U. Amin, Shahnaz Maqbool
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Abstract

In an Intensive Care Unit, acute respiratory distress syndrome (ARDS) is a serious condition. Non-cardiogenic pulmonary oedema was the prior name for it. It is caused by a variety of illnesses that cause lung injury, but sepsis is the most common cause. It causes interstitial and alveolar oedema, diffuse alveolar damage, refractory hypoxemia, and ventilation perfusion mismatch by damaging the alveolar capillary membrane. Dyspnoea with diffuse in ltration on chest X-ray is a typical clinical symptom. Low tidal volume, high positive end expiratory pressure (PEEP), and low plateau pressure are all used to treat ARDS. Prone placement improves patient perfusion and thereby increases the PaO/FiO ratio. To treat ARDS, doctors are increasingly turning to high frequency oscillation ventilation (HFOV)
急性呼吸衰竭的处理:1例报告
在重症监护病房,急性呼吸窘迫综合征(ARDS)是一种严重的疾病。非心源性肺水肿是其先前的名称。它是由多种导致肺损伤的疾病引起的,但败血症是最常见的原因。它通过破坏肺泡毛细血管膜引起间质和肺泡水肿、弥漫性肺泡损伤、难治性低氧血症和通气灌注失配。胸片上呼吸困难伴弥漫性渗滤是典型的临床症状。低潮气量、高呼气末正压(PEEP)、低平台压均可用于治疗ARDS。俯卧位可改善患者灌注,从而提高PaO/FiO比值。为了治疗ARDS,医生们越来越多地转向高频振荡通气(HFOV)。
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