scholarly journals P11‐16: Intubation and artificial ventilation treatment for elderly patients with respiratory failure

Respirology ◽  
2021 ◽  
Vol 26 (S3) ◽  
pp. 414-414
Keyword(s):  
Respiratory Failure ◽  
Elderly Patients ◽  
Artificial Ventilation

scholarly journals Acute Respiratory Failure in a Regional Respiratory Unit

1977 ◽  
Vol 5 (4) ◽  
pp. 372-377 ◽  
Author(s):  
O. F. James ◽  
R. M. Mills ◽  
K. Murree Allen
Keyword(s):  
Respiratory Failure ◽  
Acute Respiratory Failure ◽  
Artificial Ventilation

One thousand, six hundred and sixteen patients with acute respiratory failure were managed in a regional respiratory unit. The patients are classified according to cause, the need for artificial ventilation and results.

scholarly journals Acute hypercapnic respiratory failure as a rare complication of meningoencephalitis: Two case reports

2017 ◽  
Vol 4 (2) ◽  
pp. 31
Author(s):  
Leonidas Grigorakos ◽  
Katerina Tzortzopoulou ◽  
Anastasia Alexopoulou ◽  
Eva Sotiriou ◽  
Dimitra Markopoulou ◽  
...  
Keyword(s):  
Respiratory Failure ◽  
Elderly Patients ◽  
Lumbar Puncture ◽  
Case Reports ◽  
Rare Complication ◽  
Antiviral Treatment ◽  
Proper Treatment ◽  
Hypercapnic Respiratory Failure ◽  
Arterial Blood ◽  
Acute Hypercapnic Respiratory Failure

Background: Differentiated diagnosis of meningoencephalitis in elderly patients, when an uncommon picture of respiratory infection leading to acute hypercapnic respiratory failure (AHRF) and without neurological signs is present, may raise serious difficulties.Case report: Two patients aged 72 (patient 1) and 75 (patient 2), without any medical history of respiratory problems, were hospitalized during spring with influenza symptoms. Within less than 24 hours from their admission, patients developed AHFR, which led to disturbances of arterial blood gases (ABGs). They were intubated and transferred, mechanically ventilated, to our intensive care unit (ICU). After normalization of ABGs, a weaning process followed. Weaning was unsuccessful, as unexpected neurological semiotics occurred. The imaging of neurological MRI revealed no special damage apart from microangiopathy. Further investigations through lumbar puncture with cerebrospinal fluid (CSF) testing revealed meningoencephalitis. Antiviral treatment was applied and the outcome was successful for both patients.Conclusion: Critical care medical personnel should be aware of the event of viral meningoencephalitis in elderly patients with AHRF. Especially in the middle of influenza endemic periods, the management of elderly patients may not be appropriate, thus resulting in serious delays for a proper treatment of disease. Laboratory screening of blood and urine, as well as other body fluids, can help detect and determine brain infection. Results from these tests can help exclude other diseases that mimic meningoencephalitis. In cases of patients who are hospitalized in the ICU due to AHRF and do not exhibit neurological abnormalities from the onset of illness, lumbar puncture and check of CSF should be a routine examination. Prophylactic vaccination of high-risk groups may be of crucial importance for preventing complications in patients who develop meningoencephalitis. However, once infected with this disease, the positive outcome is highly dependent on the immediate diagnosis and proper treatment of patients in the ICU.

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