AI Article Synopsis
- - Patients with respiratory failure from obstructive lung disease face difficulties in gas exchange and lung function, increasing their risk during invasive mechanical ventilation.
- - Key management principles include ensuring patient-ventilator synchrony, addressing air trapping and auto-PEEP, and monitoring airway pressures.
- - The article offers a practical workflow for emergency physicians to effectively manage these complex patients.
Article Abstract
Patients with respiratory failure due to obstructive lung disease present a challenge to the emergency physician. These patients have physiologic abnormalities that prevent adequate gas exchange and lung mechanics which render them at increased risk of cardiopulmonary decompensation when managed with invasive mechanical ventilation. This article addresses key principles when managing these challenging patients: patient-ventilator synchrony, air trapping and auto-positive end-expiratory pressure, and airway pressures. This article provides a practical workflow for the emergency physician responsible for managing these patients.
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| http://dx.doi.org/10.1016/j.emc.2019.04.003 | DOI Listing |
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