Errors in Management of Patients Dying of Chronic Obstructive Lung Disease

Hunter, Charles

doi:10.1001/jama.1967.03120070100016

Cited by 6 publications

(3 citation statements)

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“…Of our bronchopneumonia cases, 92 were bedridden. The frequency with which evidence of aspiration was found at autopsy, however, shows the fallacy of the common diagnosis of decubitus bronchopneumonia (7,8).…”

Section: Dysphagia As An Etiologic Factormentioning

confidence: 99%

Bronchopneumonia in Terminally Ill Patients

Mrazek

1969

J American Geriatrics Society

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Bronchopneumonia was found in one third of all autopsies at the VA hospital in Fayetteville, N.C. In about two thirds of the bronchopneumonia cases there was evidence of aspiration. The risk of bronchopneumonia is increased with old age, white race, length of hospital stay, and the presence of debilitating disease. This is particularly true in cases of cerebral arteriosclerosis, especially when associated with dysphagia. Aspiration due to dysphagia is a predominant cause of bronchopneumonia in these patients. The beginning of bronchopneumonia is usually insidious, the symptoms few, and the course often rapid. Meticulous preventive measures are more important than reliance upon diagnostic procedures and therapy.

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Section: Dysphagia As An Etiologic Factormentioning

confidence: 99%

Bronchopneumonia in Terminally Ill Patients

Mrazek

1969

J American Geriatrics Society

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“…However, it has been shown that there is a definite increased risk of serious cardiac arrhythmias and death when patients are digitalized. 15 This many cases of acute respiratory failure are precipitated by sedation prescribed by unwary physicians. Sedation in the form of soporifics, tranquilizers, narcotics, analgesics and even histamine can depress respiration sufficiently to produce or worsen acute respiratory failure.…”

mentioning

confidence: 99%

“…Sedation in the form of soporifics, tranquilizers, narcotics, analgesics and even histamine can depress respiration sufficiently to produce or worsen acute respiratory failure. 15 It should be emphasized that hypoxemia may present clinically as restlessness…”

mentioning

confidence: 99%