• Jpn. Circ. J. · Apr 1977

    Case Reports

    Respiratory managements in patients with shock.

    • K Amaha.
    • Jpn. Circ. J. 1977 Apr 1;41(4):368-75.

    AbstractSevere respiratory failure may develop in patients following or during various types of shock. A number of mechanisms for the genesis of this syndrome have been proposed. The exact role of each of these etiologies is unknown, but a combination of these and others may be the actual causative factors. Prevention of respiratory failure consists of prompt resuscitation of shock, and prevention of hypoventilation or atelectasis, embolism and infection. Judicious use of oxygen and electrolyte fluids is also important in prophylactic therapy. At the present the principal feature in treatment consists of IPPV with adequate inspired oxygen concentration. If progressive pulmonary deterioration occurs in patients on IPPV, the CPPV may be indicated. Judicious use of CPPV may result in an apparent improvement of shock lung in some instances.

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