Problems in managing CAL patients on the ICU

• Disability due to chronic ill health

• Fatigue, muscle weakness and decreased physiological reserve leading to earlier need for ventilatory support, increased difficulty in weaning, and greater physical dependency on support therapies

• Psychological dependency on support therapies

• More prone to pneumothoraces

• Usually have greater levels of sputum production

• Right ventricular dysfunction (cor pulmonale)

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