Acute Respiratory Failure

Summers, Charlotte; Todd, Rob S.; Vercruysse, Gary; Moore, Frederick A.

doi:10.1016/b978-0-323-56724-4.00039-3

Cited by 8 publications

(4 citation statements)

References 62 publications

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“…During times of distress, there is increased physiologic pulmonary arteriovenous shunting and hypoxemia [22]. In a study by Porter et al, obesity was observed to be an independent predictor of respiratory failure in severe acute pancreatitis [23]. A study by Lankisch et al further concluded that obesity increases the incidence of shock, renal insufficiency, and respiratory insufficiency, necessitating artificial ventilation [24,25].…”

Section: Discussionmentioning

confidence: 99%

Impact of Obesity on Outcomes Associated With Acute Alcoholic Pancreatitis

Pellegrini,

Sodoma,

Munshi

et al. 2024

Cureus

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The incidence and prevalence of obesity have been rising in the United States, negatively impacting the population's overall health. This study seeks to better understand the impact of obesity on patients presenting with acute alcoholic pancreatitis (AAP). Data collected using the National Inpatient Sample (NIS) from the fourth quarter of 2015 to 2019 with a principal diagnosis of AAP and secondary obesity were analyzed. Confounders were adjusted for multivariate regression analysis using a multitude of factors. A total of 229,510 patients were identified with a diagnosis of AAP, among which 14,150 were also identified as obese. A majority of the sample, both obese and non-obese patients with AAP, were middle-aged white females. The average comorbidity index (CCI) was lower in the non-obese cohort compared to the obese cohort. Compared to non-obese patients, patients with AAP who were obese had higher hospital charges and a longer LOS (p<0.05. Additionally, compared to non-obese patients, obese patients with AAP had higher odds of mortality and adverse events, such as acute renal failure and respiratory failure (p<0.05). Current research supports these complications, which have shown an association with increased visceral fat in or around the pancreas that can ultimately worsen acute pancreatitis outcomes and aggravate AAP by damaging the intestinal mucosal barrier. These findings should be considered when treating obese patients who develop AAP. Strategies to increase surveillance of such patients should be implemented to reduce complications and mortality in this population.

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Section: Discussionmentioning

confidence: 99%

Impact of Obesity on Outcomes Associated With Acute Alcoholic Pancreatitis

Pellegrini,

Sodoma,

Munshi

et al. 2024

Cureus

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“…Respiratory failure occurs due to a disease or injury worsening the lungs’ ability to deliver oxygen or remove carbon dioxide ( Summers et al , 2022 ). Symptoms of acute respiratory failure occur suddenly and can be life threatening ( Summers et al , 2022 ). It requires immediate medication or oxygen supplementation.…”

Section: Introductionmentioning

confidence: 99%

Successful treatment of acute respiratory failure following hypertensive crisis in a dog with presumed pheochromocytoma or paraganglioma

Tamura,

Yoshida,

Nagata

et al. 2023

Open Vet J

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Background: Acute respiratory failure has been reported one of the manifestations of hypertensive crisis in pheochromocytoma in human medicine. In dogs, no reports have been described acute respiratory failure following hypertensive crisis. Here, we report the clinical presentation, course, and treatment of acute respiratory failure following hypertensive crisis in a dog with presumed pheochromocytoma or paraganglioma. Case Description: A 12-year-old neutered male toy poodle was referred for the diagnostic evaluation of a right adrenal gland mass. The dog suddenly exhibited severe dyspnea with abnormal hypertension (systolic blood pressure > 200 mmHg) 15 minutes after recovery from the anesthesia for the computed tomography (CT) examination. Pulmonary CT and ultrasonography findings suggested acute onset of severe pulmonary edema. Pulmonary edema was treated with mechanical ventilation (pressure-support ventilation with continuous positive airway pressure) and negative fluid balance after the administration of furosemide. Weaning from mechanical ventilation was successful 24 hours after the onset of respiratory failure. Finally, the dog was discharged 3 days after weaning from ventilation without complications. Conclusion: This report outlines a case of acute respiratory failure following a hypertensive crisis requiring mechanical ventilatory management in a dog. The onset and progression of pulmonary edema were extremely rapid. However, improvement in pulmonary edema was also rapid. Hemodynamic stability, in addition to prompt diagnosis and aggressive therapeutic intervention, including mechanical ventilation, may have contributed to the good prognosis of pulmonary edema following hypertensive crisis in a dog, which we attribute to a catecholamine storm.

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“…NIV is a breathing support technique that significantly improves gas exchange and vital signs, reducing intubation by 20% and mortality rates by 13% [ 3 ]. It is usually recommended for patients with COVID-19-related acute hypoxemic respiratory failure (AHRF) [ 4 ], which has the following main causes: hypoventilation, diffusion impairment, shunt, and ventilation-perfusion (V/Q) mismatch [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Helmet-Noninvasive Ventilation for Hospitalized Critically Ill COVID-19 Patients: Has Vaccination and the New Variants Changed Evidence?

et al. 2022

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Noninvasive ventilation (NIV) is a technique for breathing support that significantly improves gas exchange and vital signs, reducing intubation and mortality rates. Helmets, unlike facemasks, allow for longer-term treatment and better ventilation, also being more cost-effective. As of today, we have found no reviews addressing this topic. This review aims to identify, map, and describe the characteristics of the use of noninvasive ventilation through helmet interface in critically ill COVID-19 adult patients hospitalized in acute care settings throughout the multiple moments that defined the COVID-19 pandemic. This scoping review will follow the methodology for scoping reviews proposed by JBI. A set of relevant electronic databases will be searched using terms such as COVID-19, helmet, and noninvasive ventilation. Two reviewers will independently perform the study selection regarding their eligibility. Data extraction will be accomplished using a researcher’s developed tool considering the review questions. Findings will be presented in tables and a narrative description that aligns with the review’s objective. This scoping review will consider any quantitative, qualitative, mixed-methods studies and systematic review designs for inclusion, focusing on the use of helmet on critically ill adult patients with COVID-19 hospitalized in acute care settings.

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Acute Respiratory Failure

Cited by 8 publications

References 62 publications

Impact of Obesity on Outcomes Associated With Acute Alcoholic Pancreatitis

Impact of Obesity on Outcomes Associated With Acute Alcoholic Pancreatitis

Successful treatment of acute respiratory failure following hypertensive crisis in a dog with presumed pheochromocytoma or paraganglioma

Helmet-Noninvasive Ventilation for Hospitalized Critically Ill COVID-19 Patients: Has Vaccination and the New Variants Changed Evidence?

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