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Decreased Thoracic Excursions (ventilatory failure)

Published on July 26, 2010 under Anesthesiology, ER + Critical Care
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The neurological patient that develops respiratory failure usually has obvious neurological disease. Intubation is always indicated in respiratory failure associated with decreased ventilation. Once the patient has been stabilized, the lesion must be localized. This will help the clinician establish a list of differential diagnoses and the general prognosis for the patient. If the disease [...]

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Central cyanosis due to respiratory disorders

Published on July 26, 2010 under Cardiology, ER + Critical Care
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Cyanosis associated with respiratory causes are often found at later stages of disease processes. The presence of cyanosis in respiratory distress requires rapid decision. The clinician must determine whether the patient is likely to respond to medical therapy (typically — oxygen supplementation, sedation, bronchodilators) or require intubation and possible ventilation. Respiratory failure is typically classified [...]

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