Breathing exercises for dysfunctional breathing/hyperventilation syndrome in adults

Jones, Mandy; Harvey, Alex; Marston, Louise; O’Connell, Neil E

doi:10.1002/14651858.cd009041

Cited by 19 publications

(27 citation statements)

References 10 publications

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“…A mystery surrounds the realm of pulmonary medicine; a respiratory condition named by researchers as primary dysfunctional breathing (PDB; Jones et al, 2013 ). This condition is frequently manifest in the worldwide population but still requires further investigation (Boulding et al, 2016 ).…”

Section: Definition Of Primary Dysfunctional Breathingmentioning

confidence: 99%

“…PDB has been characterized as a breathing disorder that ultimately results in erratic patterns of respiration with no evident anatomical abnormalities or physiological alterations, but that appears to be linked to one's emotional state and situational triggers, e.g., anxiety, suppressed, anger and grief (Gilbert, 1998 ). The symptoms presented by patients with PDB commonly vary from “air hunger” (i.e., breathlessness) to dizziness and palpitations (Jones et al, 2013 ). These physical sensations can sometimes initiate for inexplicable reasons and may lead to a consequent deterioration of health-related quality of life (Thomas et al, 2003 ).…”

Section: Definition Of Primary Dysfunctional Breathingmentioning

confidence: 99%

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Stop Thinking! I Can't! Do Attentional Mechanisms Underlie Primary Dysfunctional Breathing?

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Section: Definition Of Primary Dysfunctional Breathingmentioning

confidence: 99%

Section: Definition Of Primary Dysfunctional Breathingmentioning

confidence: 99%

Stop Thinking! I Can't! Do Attentional Mechanisms Underlie Primary Dysfunctional Breathing?

et al. 2018

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“…The national ambulance service guidelines (Brown et al 2016) The lack of agreement regarding specific HVS diagnostic criteria, led Smith (1985) to hypothesise that good patient-clinician relationships are more important than invasive laboratory tests (Jones et al 2013). To promote a good patient-clinician relationship, Caroline (2016) suggests not adding to the patient's anxieties and trying to reassure patients.…”

Section: Diagnosismentioning

confidence: 99%

Hyperventilation syndrome: diagnosis and reassurance

Wilson

2018

Journal of Paramedic Practice

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This article provides an overview of Hyperventilation Syndrome (HVS). Hyperventilation is defined as breathing in excess of metabolic requirements and in the absence of an underlying organic cause is defined as HVS. Alternative terms used in the literature are panic/anxiety attack, panic/anxiety disorder, dysfunctional breathing or breathing pattern disorder. This article provides an overview of HVS signs and symptoms beyond the familiar symptoms of tachypnoea, chest tightness, paraesthesia and anxiety. The article also discusses differential diagnoses and pre-hospital treatment of HVS, which focuses on reassuring patients and assisting them in establishing a good respiratory pattern. Patients with HVS use a significant amount of hospital and emergency service resources. Paramedics are ideally placed to diagnose and treat HVS pre-hospitally to avoid unnecessary and costly hospital admissions. Further research is needed to evaluate the pre-hospital prevalence and diagnostic accuracy for HVS, identify clear diagnostic criteria and design screening tools.

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“…First, HVS can occur after emergence from general anesthesia. This syndrome is a common disease as indicated in a study by Jones et al, estimating a prevalence of 9.5% in an adult population [ 5 ] and sometimes occurring during dental care [ 6 , 7 ]. However, HVS after general anesthesia is less common because sedative drugs and opioids provide an anxiolytic and antiadrenergic action and relief of pain.…”

Section: Discussionmentioning

confidence: 99%

Dexmedetomidine-treated hyperventilation syndrome triggered by the distress related with a urinary catheter after general anesthesia: a case report

2017

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BackgroundHyperventilation syndrome (HVS) sometimes occurs in patients under stressful conditions and may provoke severe complications such as myocardial infarction and death. The authors report a case of HVS following general anesthesia, where a continuous intravenous infusion of dexmedetomidine was effective for HVS.Case presentationA 23-year-old male patient with recurrent tongue cancer was scheduled to undergo partial glossectomy and neck dissection. Emergence from general anesthesia was prompt. Twenty-two minutes after extubation, the patient complained of unbearable distress caused by the urinary catheter. He began to cry, with an increased respiratory rate of over 40 breaths per minute. Intravenous infusion of flurbiprofen, droperidol, and morphine was not effective. Electrocardiography and laryngofiberscopy indicated the absence of acute coronary syndrome and airway obstruction, respectively. An arterial blood gas determination showed pH 7.63, PaCO2 18.2 mmHg, PaO2 143 mmHg on O2 mask 4 L/min, Ca2+ 4.29 mmol/L, and lactate 3.4 mmol/L. The patient was diagnosed with HVS. Dexmedetomidine infusion 2.0 μg/kg/h for 10 min followed by 0.7 μg/kg/h reduced respiratory rate, suppressed arousal, and disappeared the complaint of bladder distension. One hour after extubation, an arterial blood gas determination showed pH 7.33, PaCO2 51.3 mmHg, PaO2 196 mmHg on O2 mask 4 L/min, Ca2+ 4.70 mmol/L, and lactate 1.5 mmol/L. After admission to the intensive care unit, dexmedetomidine infusion was maintained at the rate of 0.2 to 0.7 μg/kg/h until the following morning, and he did not complain of distress caused by the urinary catheter.ConclusionsHVS can occur after emergence from general anesthesia, and dexmedetomidine infusion was effective for HVS.

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Breathing exercises for dysfunctional breathing/hyperventilation syndrome in adults

Cited by 19 publications

References 10 publications

Stop Thinking! I Can't! Do Attentional Mechanisms Underlie Primary Dysfunctional Breathing?

Stop Thinking! I Can't! Do Attentional Mechanisms Underlie Primary Dysfunctional Breathing?

Hyperventilation syndrome: diagnosis and reassurance

Dexmedetomidine-treated hyperventilation syndrome triggered by the distress related with a urinary catheter after general anesthesia: a case report

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