Presentation
CONTEXT: Dyspnea has rarely been reported as a presenting symptom in patients with neuromyelitis optica (NMO). [ncbi.nlm.nih.gov]
Entire Body System
- Swelling
This may be due to swelling or damage to the lungs. A person with type 1 acute respiratory failure has very low oxygen levels. [medicalnewstoday.com]
Atypical signs of CHF are frequent (confusion or leg swelling, or wheezing), and confusing [ 15, 16, 17]. Unfortunately, an inappropriate diagnosis is associated with an increased mortality (Figure 1 a and b) [ 3, 18]. [academic.oup.com]
Severe acute asthma Asthma is an inflammatory disorder of the airways characterized by airway hyperactivity with bronchospasm, mucosal swelling, and mucus production. [annalsofintensivecare.springeropen.com]
- Multiple Congenital Anomalies
She was born with pulmonary hypertension and multiple congenital anomalies, including an atrial septal defect. Despite receiving the best supportive care, she could not be taken off the mechanical ventilator because of severe hypercapnia. [ncbi.nlm.nih.gov]
Respiratoric
- Pneumonia
Conclusions: Viral pneumonia may result in severe hypoxemic respiratory failure and ARDS especially during epidemic seasons. [ncbi.nlm.nih.gov]
- Aspiration
He developed respiratory distress due to aspiration of secretions, necessitating intubation both to protect his airway and for an esophagogastroduodenoscopy (EGD). [ncbi.nlm.nih.gov]
Leukocytosis Sputum culture & sensitivity Clinical manifestations and infiltration chest X-Ray with or without microbiological test Community-acquired pneumonia Hospital-acquired pneumonia Healthcare-associated pneumonia Ventilator-associated pneumonia Aspiration [wikidoc.org]
- Tachypnea
[…] pro-B-type natriuretic peptide) Cardiac troponin levels ST and T waves abnormalities in ECG Clinical diagnosis History of heart disease, hypertension Non cardiogenic pulmonary edema Adult respiratory distress syndrome ( ARDS ) [4] Acute + +/- +/- Cyanosis Tachypnea [wikidoc.org]
Hypertensive cardiogenic pulmonary edema presents with a sudden onset of severe dyspnea, tachycardia, and tachypnea, and can occur when the systolic blood pressure exceeds 160 mmHg in association with acute decompensated congestive cardiac failure (CCF [ncbi.nlm.nih.gov]
Also Be Sure to Checkout our YouTube Channel 4 Main Causes of Acute Respiratory Failure: Increased Work of Breathing: Look for the triad of Tachypnea(short shallow tidal volumes), Tachycardia and Diaphoresis (↑Catecholamine surge) Refractory Hypoxemia [rebelem.com]
Patients with acute respiratory failure may present symptoms like shortness of breath, anxiety, confusion, tachypnea, cardiac dysfunction, and cardiac arrest symptoms. [medtronic.com]
Patients initially present with acute onset cyanosis, dyspnea, and tachypnea. [amboss.com]
Cardiovascular
- Cyanosis
We found bronchial sibilant rales, wheezing, cyanosis, peripheral adenopathies, hepatosplenomegaly, purulent tonsillitis. the chest-x-ray revealed bilateral mediastinal lymphadenopathy and bilateral lung infiltrations. [ncbi.nlm.nih.gov]
It manifests with dyspnea and cyanosis and may lead to cardiovascular shock Respiratory function fails to maintain adequate oxygen supply and carbon dioxide removal 518.81 Excludes ICD-9-CM Volume 2 Index entries containing back-references to 518.81 : [icd9data.com]
If you are hypoxemic (have inadequate oxygen), your symptoms may include: Shortness of breath Cyanosis (a bluish tinge to the skin, especially around the mouth, eyes and nails) Fast heart rate Coughing or wheezing Severe headache Pulmonary hypertension [nm.org]
The person has shortness of breath, usually with rapid, shallow breathing, the skin may become mottled or blue (cyanosis), and other organs such as the heart and brain may malfunction. [msdmanuals.com]
[…] a result of smoking, pollution and population aging 2 Consequences of chronic respiratory failure Chronic respiratory failure impairs daily life as a result of: Shortness of breath Acute fatigue Accelerated heart rate Blue-tinged lips or fingertips (cyanosis [airliquide.com]
- Tachycardia
Hamptom and Westermark sign may be seen in chest X-Ra y Leukocytosis, elevated erythrocyte sedimentation and lactic acid in complete blood count Hypoxemia in arterial blood gas D-dimer to rule out other diseases Tachycardia and abnormalities in ST-segment [wikidoc.org]
Hypertensive cardiogenic pulmonary edema presents with a sudden onset of severe dyspnea, tachycardia, and tachypnea, and can occur when the systolic blood pressure exceeds 160 mmHg in association with acute decompensated congestive cardiac failure (CCF [ncbi.nlm.nih.gov]
The most common causes are exacerbation of chronic obstructive pulmonary disease (COPD), asthma, and neuromuscular fatigue, leading to dyspnoea, tachypnoea, tachycardia, use of accessory muscles of respiration, and altered consciousness. [oxfordmedicine.com]
Also Be Sure to Checkout our YouTube Channel 4 Main Causes of Acute Respiratory Failure: Increased Work of Breathing: Look for the triad of Tachypnea(short shallow tidal volumes), Tachycardia and Diaphoresis (↑Catecholamine surge) Refractory Hypoxemia [rebelem.com]
Common presentations include: Dyspnoea Tachypnoea Restlessness Confusion Anxiety Cyanosis- central Tachycardia Pulmonary hypertension Loss of consciousness Signs and symptoms of RF Type I (Hypoxemia) include[4]: Dyspnea, irritability Confusion, fits, [physio-pedia.com]
Musculoskeletal
- Muscle Weakness
Ventilatory muscle weakness leading to respiratory failure is an uncommon manifestation of this autoimmune disease. [ncbi.nlm.nih.gov]
The axonal form does not usually involve proximal muscle weakness or cranial nerve impairment, features that are significantly associated with development of respiratory failure. [onlinelibrary.wiley.com]
Others include chest-wall deformities, respiratory muscle weakness (e.g. Guillain-Barre syndrome ) and central depression of the respiratory centre (e.g. heroin overdose). [healthengine.com.au]
Common examples of such causes include the following: Sedation due to an overdose of opioids or alcohol Blockage or narrowing of the airways Injury to the lungs Damage to bones and tissues around the lungs Weakness of muscles that normally inflate the [msdmanuals.com]
- Myopathy
Three of the 7 and another 4 patients with CK levels in the reference range had final diagnoses of myopathy. Levels of CK were not measured in the other 5 cases of myopathy. [jamanetwork.com]
Abstract BACKGROUND Sporadic inclusion body myositis (IBM) is the most common acquired myopathy seen in adults aged over 50 years, with a prevalence estimated at between 1 and 70 per million. [ncbi.nlm.nih.gov]
Neuromuscular disease ( Myasthenia Gravis, ALS, Guillian-Barre, Botulism, spinal cord disease, myopathies, etc.). The patient is unable to neurologically signal the muscles of respiration or has significant intrinsic respiratory muscle weakness. [mcgill.ca]
[…] depressant drugs Spinal cord trauma, tumour, transverse myelitis Nerve root injury Nerve trauma neuropathy eg Guillain Barre motor neuron disease Neuromuscular junction myasthenia gravis neuromuscular blockers Respiratory muscles fatigue disuse atrophy myopathy [aic.cuhk.edu.hk]
Mechanical defects in the chest wall as in flail chest, diseases of the nerves (Guillain-Barre syndrome) and anterior horn cells(poliomyelitis) or diseases of the respiratory muscles(myopathies) Excessive inspiratory load fatigues the inspiratory muscles [physio-pedia.com]
Neurologic
- Guillain-Barré Syndrome
KEYWORDS: Acute; Evaluation; Guillain-Barré syndrome; Management; Myasthenic crisis; Neuromuscular respiratory failure; Recognition; Weakness [ncbi.nlm.nih.gov]
The most frequent diagnoses were myasthenia gravis, Guillain-Barré syndrome, myopathies, and amyotrophic lateral sclerosis (27, 12, 12, and 12 patients, respectively). [jamanetwork.com]
Risk factors for MV in the patients with Guillain‐Barré syndrome. [onlinelibrary.wiley.com]
[…] chronic obstructive pulmonary disease, asthma, suffocation) Reduced breathing effort (drug effects, brain stem lesion, extreme obesity) A decrease in the area of the lung available for gas exchange (such as in chronic bronchitis) Neuromuscular problems (Guillain–Barré [en.wikipedia.org]
[…] disease (COPD), cystic fibrosis, or inhaled foreign objects Poor breathing (decrease in the drive to breathe) Drug or alcohol intoxication, hypothyroidism, obesity, or sleep apnea Muscle weakness Amyotrophic lateral sclerosis (ALS), certain strokes, Guillain-Barré [msdmanuals.com]
- Agitation
This is characterized by the combination of one or more findings: altered state of consciousness (from agitation to lethargy), increased work of breathing [nasal flaring, use of accessory muscles, intercostal retraction, Hoover sign, suprasternal and [xlung.net]
The person with ARDS may initially appear agitated as a result of breathing difficulty (rapid breathing or shortness of breath), but later may become lethargic and or even comatose. [rarediseases.org]
These include Altered mental status (agitation, somnolence) Peripheral or central cyanosis or decreased oxygen saturation on pulse oximetry Manifestations of a "stress response" including tachycardia, hypertension, and diaphoresis Evidence of increased [mcgill.ca]
Workup
A workup for possible malignancy in this setting appears reasonable. [ncbi.nlm.nih.gov]
Treatment
The cases in this group met the same criteria as those administered the iNO treatment. [ncbi.nlm.nih.gov]
You may need treatment in intensive care unit at a hospital. Chronic respiratory failure can often be treated at home. But if your chronic respiratory failure is severe, you might need treatment in a long-term care center. [medlineplus.gov]
Treatment for respiratory failure depends on whether the condition is acute (short-term) or chronic (ongoing) and its severity. Treatment also depends on the condition's underlying cause. Acute respiratory failure can be a medical emergency. [nhlbi.nih.gov]
Another study examines CPAP and medical treatment given at different time intervals, and not supplemental CPAP compared to standard medical treatment alone. It was therefore excluded [ 18 ]. [doi.org]
Prognosis
Prognosis is poor, particularly after allogeneic transplantation, and literature to guide clinical decision-making is scarce. [ncbi.nlm.nih.gov]
[…] aimed at the underlying lung disease, and may include: Bronchodilator drugs to reverse some airway obstruction Methods to stop smoking Noninvasive positive-pressure ventilation, or mechanical ventilation if needed Oxygen if the blood oxygen level is low Prognosis [hopkinsmedicine.org]
Prognosis of Respiratory failure (types I and II) Respiratory failure is a severe condition that is generally terminal unless treated. [healthengine.com.au]
Etiology
Despite lung protective ventilation, prone position and neuromuscular blockade, refractory respiratory failure of unknown etiology supervened (ratio of arterial oxygen partial pressure to fractional inspired oxygen 46-130) and ECMO was initiated after [ncbi.nlm.nih.gov]
Describe the various etiologies of acute respiratory failure. [mcgill.ca]
Epidemiology
Author information 1 Department of Respiratory Medicine, Kobe City Medical Center General Hospital, Japan. 2 Clinical Research Center, Kobe City Medical Center General Hospital, Japan. 3 Department of Clinical Epidemiology, Hyogo College of Medicine, [ncbi.nlm.nih.gov]
The objective of this study was to provide a broad characterization of the epidemiology of ARF among adults hospitalized in the United States using a large nationally representative database. [journalofhospitalmedicine.com]
Myasthenia gravis (MG): epidemiological data and prognostic factors. Ann N Y Acad Sci 2003;998413- 423 PubMed Google Scholar Crossref 16. Varelas PNChua HCNatterman J et al. [jamanetwork.com]
Pathophysiology
Hypoxemic and hypercapnic respiratory failure are described, and the pathophysiological underpinnings of each type are reviewed. [accessmedicine.mhmedical.com]
Abstract This article reviews the definition, pathophysiology, etiology, assessment, and management of acute respiratory failure in children. [ncbi.nlm.nih.gov]
There are five important pathophysiological causes of hypoxemia and respiratory failure, which are as follows: 1. [lecturio.com]
Prevention
This case demonstrates a variety of factors affecting patients, respiratory physicians, occupational physicians, and management teams, which prevents patients from working. [ncbi.nlm.nih.gov]
Patients are to receive pressure injury prevention management as per the Pressure Injury Prevention Guideline. Pressure Injury Prevention Guideline 30. Patients are to be encouraged to sit out of bed as tolerated. [aci.health.nsw.gov.au]
Prevention Because respiratory failure is not a disease itself, but the result of another disorder, the best prevention is to treat any lung disease promptly and effectively, and to ensure that patients whose blood electrolyte chemistry is out of balance [encyclopedia.com]
Vaccines can help prevent some lung infections. Examples include pneumonia, pertussis (whooping cough), tuberculosis (TB), and diphtheria. Get a flu vaccine every year as soon as it becomes available. Prepare for emergencies. [drugs.com]
It also can prevent the machine's pressure from injuring your lungs. You'll use the ventilator until you can breathe on your own. [nhlbi.nih.gov]