Abstract
Abstract A case of respiratory failure in a 53 year old man with a 22 year history of airway obstruction, who was admitted to an intensive care unit is reported. Three aspects of respiratory failure are illustrated by this case, the role of left heart failure in precipitating respiratory failure in chronic lung disease, the effect of muscle weakness on the co-ordination of the costal muscles and the diaphragm, and the importance of assessing lung function by compliance and respiratory volume measurements.
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