Document Detail


Diagnosis of acute respiratory failure and nosocomial pneumonia
MedLine Citation:
PMID:  15547315     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The aim of this study was to determine diagnosis and factors influencing acute respiratory failure and nosocomial pneumonia according to literature and clinical findings in critically ill patients. The term "respiratory failure" implies the inability to maintain either normal delivery of oxygen to tissues or normal removal of carbon dioxide from the tissues. There are many patients suffering from acute respiratory failure caused by nosocomial pneumonia, septic syndrome, aspiration, interstitial or alveolar lung edema, thromboembolism of a. pulmonalis, polytrauma and contusion of the lungs, acute respiratory distress syndrome, acute lung injury, status asthmaticus, rather massive transfusions of blood products, and lipid embolism in the intensive care unit. There are actually three processes involved: transfer of oxygen across the alveolus, transport to the tissues (by cardiac output), and removal of carbon dioxide from the blood into the alveolus with subsequent exhalation into the environment. Failure of any step in this process can lead to respiratory failure. Long-term hypoxia causes ischemic changes and dysfunction of brain, heart, kidney, lungs and can worsen the outcome of disease or can cause higher mortality.
Authors:
Violeta Ziliene; Dagmara Reingardiene; Neringa Tereseviciūte; Ricardas Slavinskas
Publication Detail:
Type:  English Abstract; Journal Article; Review    
Journal Detail:
Title:  Medicina (Kaunas, Lithuania)     Volume:  40     ISSN:  1648-9144     ISO Abbreviation:  Medicina (Kaunas)     Publication Date:  2004  
Date Detail:
Created Date:  2004-11-19     Completed Date:  2006-02-03     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  9425208     Medline TA:  Medicina (Kaunas)     Country:  Lithuania    
Other Details:
Languages:  lit     Pagination:  1124-9     Citation Subset:  IM    
Affiliation:
Department of Intensive Care, Clinic of Neurosurgery, Kaunas University of Medicine, Eiveniu 2, 50009 Kaunas, Lithuania. zil@kalnieciai.lt
Vernacular Title:
Uminio kvepavimo nepakankamumo ir nozokomines pneumonijos diagnozavimas.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adult
Algorithms
Anoxia / diagnosis*
Cross Infection / diagnosis*
Diagnosis, Differential
Humans
Intensive Care Units
Pneumonia / diagnosis*,  radiography
Pulmonary Gas Exchange
Radiography, Thoracic
Respiratory Distress Syndrome, Adult / diagnosis,  radiography
Respiratory Insufficiency / blood,  diagnosis*,  etiology,  physiopathology,  radiography
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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