Abstract
Patients requiring acute intensive respiratory therapy may have ventilatory failure and/or severe ventilatory insufficiency. The former group will have varying degrees of dyspnea and abnormal blood gases, the latter ventilatory fatigue. Therapy should be directed towards the establishment of a clear airway, easy removal of secretions and improvement of blood gas exchange. Depending on the nature and severity of the underlying condition as well as the blood gas abnormalities, the following therapeutic measures may be taken: oxygen, assisted IPPB, and tracheostomy with assisted or controlled IPPB. The role of infections, humidification of inspired gases, bronchodilator drugs, expectorants, monitoring of blood gases and pH, cardiac management and certain complications of respiratory failure are emphasized.
Published Version
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