Journal article
Ventilator Strategies and Rescue Therapies for Management of Acute Respiratory Failure in the Emergency Department
Annals of emergency medicine, v 66(5), pp 529-541
01 Nov 2015
PMID: 26014437
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Acute respiratory failure is commonly encountered in the emergency department (ED), and early treatment can have effects on long-term outcome. Noninvasive ventilation is commonly used for patients with respiratory failure and has been demonstrated to improve outcomes in acute exacerbations of chronic obstructive lung disease and congestive heart failure, but should be used carefully, if at all, in the management of asthma, pneumonia, and acute respiratory distress syndrome. Lung-protective tidal volumes should be used for all patients receiving mechanical ventilation, and FiO2 should be reduced after intubation to achieve a goal of less than 60%. For refractory hypoxemia, new rescue therapies have emerged to help improve the oxygenation, and in some cases mortality, and should be considered in ED patients when necessary, as deferring until ICU admission may be deleterious. This review article summarizes the pathophysiology of acute respiratory failure, management options, and rescue therapies including airway pressure release ventilation, continuous neuromuscular blockade, inhaled nitric oxide, and extracorporeal membrane oxygenation.
Metrics
Details
- Title
- Ventilator Strategies and Rescue Therapies for Management of Acute Respiratory Failure in the Emergency Department
- Creators
- Jarrod M. Mosier - University of ArizonaCameron Hypes - University of ArizonaRaj Joshi - University of ArizonaSage Whitmore - Michigan MedicineSairam Parthasarathy - University of ArizonaCharles B. Cairns - University of Arizona
- Publication Details
- Annals of emergency medicine, v 66(5), pp 529-541
- Publisher
- Elsevier
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- College of Medicine
- Web of Science ID
- WOS:000364621900018
- Scopus ID
- 2-s2.0-84945489682
- Other Identifier
- 991021448190204721
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InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Emergency Medicine