Key messages

• Controlled oxygen therapy is used to increase PaO2 to 8 kPa without carbonarcosis.

• Beta-2 agonists and ipratropium bromide are combined in aerosolized form.

• Corticosteroid is administered only to known 'responders' or patients already taking corticosteroids.

• Aminophylline, respiratory stimulants, and digitalis are of little use.

• Consider an early trial of non-invasive ventilation (pressure support preferred).

• In acute life-threatening situations (respiratory arrest, cardiovascular collapse) or deterioration despite treatment, resort to intubation and controlled mechanical ventilation.

• Pitfalls of mechanical ventilation are alkalosis, air trapping ('intrinsic' positive end-expiratory pressure), barotrauma, and difficult and protracted weaning.

• During difficult weaning, always consider factors contributing to respiratory muscle fatigue.

Sleep Apnea

Sleep Apnea

Have You Been Told Over And Over Again That You Snore A Lot, But You Choose To Ignore It? Have you been experiencing lack of sleep at night and find yourself waking up in the wee hours of the morning to find yourself gasping for air?

Get My Free Ebook

Post a comment