Articles: respiratory-distress-syndrome.
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Acta Anaesthesiol Belg · Dec 1978
Comparative StudySpontaneous breathing with continuous positive airway pressure in adult respiratory distress syndrome.
The authors describe three systems of spontaneous respiration with positive end expiratory pressure (P. E. E. ⋯ P. is lower than 70 mm Hg. The bubble is less used due to its drawbacks. The Servo 900 B offers many possibilities, one of which is reported in this paper.
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Treatment of the adult respiratory distress syndrome requires an understanding of the current concepts of the pathogenesis of this syndrome. The clinical features and pathophysiology are briefly discussed. Differential diagnosis requires the exclusion of pulmonary infection and left heart failure. ⋯ Currently accepted modalities for improving oxygenation, when oxygen by face mask proves inadequate, include intubation and ventilation with postiive end-expiratory pressure. Other promising technics for improving oxygenation which do not require intubation are continuous positive airway pressure applied by face mask, continuous negative chest wall pressure, and alterations in posture. The long-term prognosis in survivors appears to be good, with only mild residual pulmonary functional abnormalities.
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Intensive care medicine · Nov 1978
Case ReportsAcute miliary tuberculosis presenting as acute respiratory failure.
A 42 year old pregnant woman was admitted in acute respiratory failure. Viral pneumonia was suspected and oxygen therapy, CPAP, water restriction and diuretics were started with good response. She remained febrile and had an abnormal chest X-ray, a diagnosis of miliary tuberculosis was confirmed by transbronchial fibreoptic lung biopsy.