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Full-Text Articles in Medicine and Health Sciences
Arterial Blood Gases: Their Meaning And Interpretation, Walter J. O'Donohue Jr.
Arterial Blood Gases: Their Meaning And Interpretation, Walter J. O'Donohue Jr.
MCV/Q, Medical College of Virginia Quarterly
The measurement of arterial blood gases is essential in the management of respiratory failure and in the diagnostic assessment of the nature and severity of pulmonary disease. Adequate therapy for patients with acute respiratory insufficiency is often impossible without the information obtained from arterial blood gases. These studies must be readily available around the clock, including nights, weekends, and holidays and should not have to depend upon a technician called in from home.
Non-Ventilator Management Of Respiratory Failure: The Ventimask, William B. Hunt Jr.
Non-Ventilator Management Of Respiratory Failure: The Ventimask, William B. Hunt Jr.
MCV/Q, Medical College of Virginia Quarterly
This paper will detail the conservative management of acute respiratory failure in patients with chronic respiratory failure due to chronic bronchitis and emphysema. It is important to recognize that this is a very specific group of patients. They have had a chronic hypoxia and hypercarbia for months or years preceding their current episode of acute respiratory failure.
Principles Of Inhalation Therapy, Walter J. O'Donohue Jr.
Principles Of Inhalation Therapy, Walter J. O'Donohue Jr.
MCV/Q, Medical College of Virginia Quarterly
With the increasing complexity of ventilatory equipment and the rapid development of new techniques for respiratory care, it has become progressively more difficult for the average physician to keep pace with clinical and technical advancements. The management of acute respiratory failure is now a demanding art which requires a broad knowledge of cardiopulmonary physiology and sophistication in the use of complicated equipment. Careful attention to detail is often the critical factor that determines survival. The mortality from acute respiratory failure has been substantially reduced in respiratory intensive care units where there are well trained teams of physicians, nurses, and technicians …
How To Get Patients On And Off Respirators, Terring W. Heironimus Iii
How To Get Patients On And Off Respirators, Terring W. Heironimus Iii
MCV/Q, Medical College of Virginia Quarterly
This title implies that one has already decided that one's patient needs to be artificially ventilated, that is, that he is in respiratory failure. How does one diagnose respiratory failure? Much of what I have to say in this regard is in terms of arbitrary limits, values, and guidelines. Since these guidelines are arbitrary, there may exist legitimate grounds for differences of opinion about some of them. However, we have found these guidelines to be quite helpful, and experience would indicate that they are reasonable.
Complications Of Mechanical Ventilation, Orhan Muren
Complications Of Mechanical Ventilation, Orhan Muren
MCV/Q, Medical College of Virginia Quarterly
With increasing utilization of mechanical ventilation during the past decade or so, complications related to its use have also increased. Ventilators are primarily indicated when acceptable safe levels of oxygenation and ventilation cannot be maintained by other means.
Management Of Severe Asthma, William B. Hunt Jr.
Management Of Severe Asthma, William B. Hunt Jr.
MCV/Q, Medical College of Virginia Quarterly
In this summary of therapy for severe asthma there is no mention of etiologic factors. The author presumes that if infection is the primary factor in the progression to severe asthma that this will be recognized and appropriately treated. A chest x-ray must be an initial laboratory study for the recognition of pneumonia or complicating pneumothorax. However, unlike respiratory failure due to emphysema, here the specific therapy of the altered pulmonary physiology is of paramount importance.
Trauma Resulting In Respiratory Failure, James W. Brooks
Trauma Resulting In Respiratory Failure, James W. Brooks
MCV/Q, Medical College of Virginia Quarterly
Respiratory failure may occur secondary to thoracic trauma. Several important conditions develop as a result of chest injuries and may occur singly, or in combination, in patients with injuries from any cause. Unrecognized and therefore without proper management, the results are necessarily poor. If recognized and their mode of production is understood, treatment may be simple.
Ambulatory Care For Emphysema And Chronic Bronchitis, Thomas L. Petty
Ambulatory Care For Emphysema And Chronic Bronchitis, Thomas L. Petty
MCV/Q, Medical College of Virginia Quarterly
The immense problem of chronic airway obstruction (CAO)--emphysema and chronic bronchitis--which has now reached epidemic proportions, presents to the practitioner of medicine an increasing number of suffering persons asking for care. These patients are dyspneic, anxious, bewildered by their predicament, sometimes demanding and frightened about prospects for future comfortable life.
The Pathophysiology Of Respiratory Failure In Chronic Obstructive Pulmonary Disease, John L. Patterson, James P. Baker, Walter J. O'Donohue Jr.
The Pathophysiology Of Respiratory Failure In Chronic Obstructive Pulmonary Disease, John L. Patterson, James P. Baker, Walter J. O'Donohue Jr.
MCV/Q, Medical College of Virginia Quarterly
The most important pathophysiologic aspects of chronic and acute obstructive pulmonary disease involve disturbances in ventilation with resulting derangement of gas exchange in the lung. There is considerable variability in the type of abnormality, the time of its appearance in relationship to the history of the disease, and in the progression of the abnormality in blood gases.
The Respiratory Instensive Care Unit, James P. Baker
The Respiratory Instensive Care Unit, James P. Baker
MCV/Q, Medical College of Virginia Quarterly
This unit functions within the Department of Medicine and as a regular rotation for the second year medical residents and for the straight medical interns. Each of these groups of house officers spends one month in rotation on this service. In addition there are medical students and house officers who elect to spend time on this service available most of the time. The nursing service has been trained by the attending physicians in addition to the senior nurses, and it has a continuing program of review and training of respiratory care skills. With this approach, in addition to having a …
The Adult Respiratory Distress Syndrome: Clinical Features, Factors Influencing Prognosis And Principles Of Management, Thomas L. Petty, David G. Ashbaugh
The Adult Respiratory Distress Syndrome: Clinical Features, Factors Influencing Prognosis And Principles Of Management, Thomas L. Petty, David G. Ashbaugh
MCV/Q, Medical College of Virginia Quarterly
This report redescribes the adult respiratory distress syndrome and discusses factors which influence prognosis and presents principles of management.
Clinical Pathological Coreelation Of Chronic Obstructive Pulmonary Disease (Copd), Orhan Muren
Clinical Pathological Coreelation Of Chronic Obstructive Pulmonary Disease (Copd), Orhan Muren
MCV/Q, Medical College of Virginia Quarterly
There are currently 15 million people affected with COPD in the United States. It appears that once the disease is well established or advanced, the ultimate course cannot be altered significantly. Emphasis should be given upon prophylactic measures. Discouragement of cigarette smoking is probably the most important means to reduce the incidence of COPD.
The Basic Principles Of Acid-Base Regulation, Orhan Muren
The Basic Principles Of Acid-Base Regulation, Orhan Muren
MCV/Q, Medical College of Virginia Quarterly
In summary, arterial gas studies including pH determinations can be vitally important in the diagnosis and management of patients with a variety of serious medical problems. These studies should be interpreted in the light of clinical and other necessary laboratory findings.
Recognition Of The Asthmatic Componnent Of Respiratory Failure, John L. Guerrant
Recognition Of The Asthmatic Componnent Of Respiratory Failure, John L. Guerrant
MCV/Q, Medical College of Virginia Quarterly
Respiratory failure from various causes is occasionally associated with or confused with asthma. Therefore, asthma should be considered and looked for in all patients with respiratory failure. Sputum eosinophilia when present is the most important indication that asthma may be important. Steroids used early and aggressively are usually indicated and effective.
Contents
MCV/Q, Medical College of Virginia Quarterly
Table of contents for MCV/Q, Medical College of Virginia Quarterly, 1973, Volume Nine, Number Two.
Bedside Assessment Of Left Ventricular Function In The Respiratory Intensive Care Unit, Clifton L. Parker
Bedside Assessment Of Left Ventricular Function In The Respiratory Intensive Care Unit, Clifton L. Parker
MCV/Q, Medical College of Virginia Quarterly
The measurement of the central venous pressure is a widely used technique for gaining information concerning the relationship of the blood volume as it relates to cardiac function. This concept has been widely popularized, and the central venous pressure measurement is extremely useful; however, it has too frequently been thought to be a direct measurement of cardiac function.
An Introduction To The Third Annual Symposium On Respiratory Failure, James P. Baker
An Introduction To The Third Annual Symposium On Respiratory Failure, James P. Baker
MCV/Q, Medical College of Virginia Quarterly
The rapid development of knowledge, techniques, and equipment in the area of respiratory care has both greatly improved and complicated the care of the patient with respiratory failure. Due to this progress, the physician who has an intermittent opportunity to care for these types of patients is at a major disadvantage. This publication will reach a considerably wider audience than had the opportunity to attend the symposium, and we hope it will extend our program to many other concerned physicians.