Respiratory Compromise as a New Paradigm for the Care of Vulnerable Hospitalized Patients
| Autor: | Timothy A Morris, Peter C Gay, Neil R MacIntyre, Dean R Hess, Sandra K Hanneman, James P Lamberti, Dennis E Doherty, Lydia Chang, Maureen A Seckel |
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| Rok vydání: | 2017 |
| Předmět: |
Pulmonary and Respiratory Medicine
Lung Diseases medicine.medical_specialty Critical Care and Intensive Care Medicine Vulnerable Populations 03 medical and health sciences 0302 clinical medicine Airway resistance Risk Factors medicine Humans Respiratory function Decompensation 030212 general & internal medicine Respiratory system Intensive care medicine business.industry Patient Selection Standard of Care General Medicine Pulmonary edema medicine.disease Hospitalization 030228 respiratory system Respiratory failure Breathing business Respiratory Insufficiency Respiratory care |
| Zdroj: | Respiratory care. 62(4) |
| ISSN: | 1943-3654 |
| Popis: | Acute respiratory compromise describes a deterioration in respiratory function with a high likelihood of rapid progression to respiratory failure and death. Identifying patients at risk for respiratory compromise coupled with monitoring of patients who have developed respiratory compromise might allow earlier interventions to prevent or mitigate further decompensation. The National Association for the Medical Direction of Respiratory Care (NAMDRC) organized a workshop meeting with representation from many national societies to address the unmet needs of respiratory compromise from a clinical practice perspective. Respiratory compromise may arise de novo or may complicate preexisting lung disease. The group identified distinct subsets of respiratory compromise that present similar opportunities for early detection and useful intervention to prevent respiratory failure. The subtypes were characterized by the pathophysiological mechanisms they had in common: impaired control of breathing, impaired airway protection, parenchymal lung disease, increased airway resistance, hydrostatic pulmonary edema, and right-ventricular failure. Classification of acutely ill respiratory patients into one or more of these categories may help in selecting the screening and monitoring strategies that are most appropriate for the patient's particular pathophysiology. Standardized screening and monitoring practices for patients with similar mechanisms of deterioration may enhance the ability to predict respiratory failure early and prevent its occurrence. |
| Databáze: | OpenAIRE |
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