[Ventilation problems in emphysema patients].
It may be difficult to decide if respiratory/ventilatory failure in patients with emphysema has resulted from a reversible process, such as pneumonia, acute on chronic bronchitis or cardiac decompensation. Therefore, we favour early institution of mechanical ventilation. Intermittent mandatory ventilation (IMV), continuous positive airway pressure (CPAP) and the new modes of pressure support (PS) help the patient to recover the strength of his musculature. Measures for bronchodilatation, antibiotics and optimal nutrition (including fat calories) allow to successfully wean most patients from the respirator. The prognosis for survival, however, is very uncertain and in general not very promising.
Hess
F A
FA
D001784:Blood Gas Analysis; D006801:Humans; D009747:Nutritional Physiological Phenomena; D011379:Prognosis; D011656:Pulmonary Emphysema / Q000401:mortality / Q000628:therapy*; D012121:Respiration, Artificial / Q000379:methods*; D015300:Ventilator Weaning
Beatmungsprobleme beim Emphysematiker.