Ventilation mécanique dans le traitement de l'insuffisance respiratoire aiguë de l'état de mal asthmatique [Mechanical ventilation in the treatment of acute respiratory insufficiency in asthma]

Détails

ID Serval
serval:BIB_EDFE2179B9A1
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Ventilation mécanique dans le traitement de l'insuffisance respiratoire aiguë de l'état de mal asthmatique [Mechanical ventilation in the treatment of acute respiratory insufficiency in asthma]
Périodique
Schweizerische Medizinische Wochenschrift
Auteur⸱e⸱s
Darioli R., Domenighetti G., Perret C.
ISSN
0036-7672
Statut éditorial
Publié
Date de publication
1981
Peer-reviewed
Oui
Volume
111
Numéro
6
Pages
194-196
Langue
français
Notes
English Abstract Journal Article --- Old month value: Feb 7
Résumé
The purpose of this study was to evaluate the results of mechanical ventilation in life-threatening status asthmaticus. 16 patients were treated for a total of 22 episodes of acute respiratory acidosis, with coma in 11 cases. Controlled mechanical ventilation was maintained from 10 to 196 hours and involved only minor complications without sequelae. All patients survived. These favourable results are attributed to a new strategy: the aim of mechanical ventilation is to relieve hypoxemia with hyperoxic mixtures without seeking rapid correction of hypercapnia, which is obtained later when bronchial desobstruction provides better conditions of VA/Q distribution. This allows low tidal volumes and low frequency, avoids high airway pressures and so decreases the danger of barotrauma and cardio-circulatory complications.
Mots-clé
Acidosis, Respiratory, Adult, Aged, Anoxia, Asthma, Coma, Female, Humans, Male, Middle Aged, Respiration, Artificial, Respiratory Insufficiency, Retrospective Studies
Pubmed
Web of science
Création de la notice
28/01/2008 12:45
Dernière modification de la notice
20/08/2019 17:15
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