Bedside Evaluation of Respiratory Distress

Observations made at the time of the first trial of independent ventilation in 112 episodes of mechanical ventilatory support led to identification of a group of indicators, each of which, when present, was significantly associated (p less than 0.05) with a need for continued mechanical ventilation...

Ausführliche Beschreibung

Gespeichert in:
Bibliographische Detailangaben
Veröffentlicht in:Chest 1984-02, Vol.85 (2), p.203-206
Hauptverfasser: Pardee, Neely E., Winterbauer, Richard H., Allen, John D.
Format: Artikel
Sprache:eng
Schlagworte:
Online-Zugang:Volltext
Tags: Tag hinzufügen
Keine Tags, Fügen Sie den ersten Tag hinzu!
container_end_page 206
container_issue 2
container_start_page 203
container_title Chest
container_volume 85
creator Pardee, Neely E.
Winterbauer, Richard H.
Allen, John D.
description Observations made at the time of the first trial of independent ventilation in 112 episodes of mechanical ventilatory support led to identification of a group of indicators, each of which, when present, was significantly associated (p less than 0.05) with a need for continued mechanical ventilation and/or with death. Six of these were potentially suitable for use in a format for clinical assessment of the risk of respiratory failure: pulse over 120 or under 70 beats per minute, respiratory rate of over 30, palpable scalene muscle recruitment in inspiration, palpable abdominal tensing in expiration, presence of irregular irregularity of respiratory rhythm with apneic pauses of varying duration, and coma or any condition preventing a patient from responding appropriately to commands aimed at producing ventilatory movements like those needed for vital capacity testing. When none of the six signs was present, there was a 90 percent chance of a favorable outcome. With one or two indicators positive, more than 50 percent of the subjects required further ventilatory support or died. There were no favorable outcomes when three or more of the signs were present together.
doi_str_mv 10.1378/chest.85.2.203
format Article
fullrecord <record><control><sourceid>proquest_cross</sourceid><recordid>TN_cdi_proquest_miscellaneous_80928527</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><els_id>S0012369215401771</els_id><sourcerecordid>80928527</sourcerecordid><originalsourceid>FETCH-LOGICAL-c407t-26dcdc17249e78d94937dc77df9db464b55401c92355c53c360359e69e5936833</originalsourceid><addsrcrecordid>eNp1kMtL7DAUh4MoOlfduhNmIS4utObRJM3S170KgiC6Dpnk1Il02jGnHfG_NzqDuHEVkvN7nHyEHDFaMqHrMz8HHMpalrzkVGyRCTOCFUJWYptMKGW8EMrwPfIH8YXmOzNql-yq_KaMmZC_FxAwBpher1w7uiH23bRvpg-Ay5jc0Kf36VXEIQHiAdlpXItwuDn3ydO_68fLm-Lu_v_t5fld4Suqh4Kr4INnmlcGdB1MZYQOXuvQmDCrVDWTsqLMGy6k9FJ4oaiQBpQBaYSqhdgnp-vcZepfx_w7u4jooW1dB_2ItqaG15LrLCzXQp96xASNXaa4cOndMmo_4dgvOLaWltsMJxuON8njbAHhW76hkecnm7lD79omuc5H_JaZSispfvTO4_P8LSawuHBtm0PFuvGlH1Pn2h-99doAGdsqQrLoI3QeQjb7wYY-_rbyBx-9j7I</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>80928527</pqid></control><display><type>article</type><title>Bedside Evaluation of Respiratory Distress</title><source>MEDLINE</source><source>Alma/SFX Local Collection</source><creator>Pardee, Neely E. ; Winterbauer, Richard H. ; Allen, John D.</creator><creatorcontrib>Pardee, Neely E. ; Winterbauer, Richard H. ; Allen, John D.</creatorcontrib><description>Observations made at the time of the first trial of independent ventilation in 112 episodes of mechanical ventilatory support led to identification of a group of indicators, each of which, when present, was significantly associated (p less than 0.05) with a need for continued mechanical ventilation and/or with death. Six of these were potentially suitable for use in a format for clinical assessment of the risk of respiratory failure: pulse over 120 or under 70 beats per minute, respiratory rate of over 30, palpable scalene muscle recruitment in inspiration, palpable abdominal tensing in expiration, presence of irregular irregularity of respiratory rhythm with apneic pauses of varying duration, and coma or any condition preventing a patient from responding appropriately to commands aimed at producing ventilatory movements like those needed for vital capacity testing. When none of the six signs was present, there was a 90 percent chance of a favorable outcome. With one or two indicators positive, more than 50 percent of the subjects required further ventilatory support or died. There were no favorable outcomes when three or more of the signs were present together.</description><identifier>ISSN: 0012-3692</identifier><identifier>EISSN: 1931-3543</identifier><identifier>DOI: 10.1378/chest.85.2.203</identifier><identifier>PMID: 6692699</identifier><identifier>CODEN: CHETBF</identifier><language>eng</language><publisher>Northbrook, IL: Elsevier Inc</publisher><subject>Adult ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; Emergency and intensive respiratory care ; Female ; Humans ; Intensive care medicine ; Male ; Medical sciences ; Muscles - physiopathology ; Prognosis ; Pulse ; Respiration ; Respiration, Artificial ; Respiratory Distress Syndrome, Adult - diagnosis ; Respiratory Distress Syndrome, Adult - mortality ; Respiratory Distress Syndrome, Adult - therapy ; Respiratory Function Tests</subject><ispartof>Chest, 1984-02, Vol.85 (2), p.203-206</ispartof><rights>1984 The American College of Chest Physicians</rights><rights>1984 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c407t-26dcdc17249e78d94937dc77df9db464b55401c92355c53c360359e69e5936833</citedby><cites>FETCH-LOGICAL-c407t-26dcdc17249e78d94937dc77df9db464b55401c92355c53c360359e69e5936833</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&amp;idt=9476537$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/6692699$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Pardee, Neely E.</creatorcontrib><creatorcontrib>Winterbauer, Richard H.</creatorcontrib><creatorcontrib>Allen, John D.</creatorcontrib><title>Bedside Evaluation of Respiratory Distress</title><title>Chest</title><addtitle>Chest</addtitle><description>Observations made at the time of the first trial of independent ventilation in 112 episodes of mechanical ventilatory support led to identification of a group of indicators, each of which, when present, was significantly associated (p less than 0.05) with a need for continued mechanical ventilation and/or with death. Six of these were potentially suitable for use in a format for clinical assessment of the risk of respiratory failure: pulse over 120 or under 70 beats per minute, respiratory rate of over 30, palpable scalene muscle recruitment in inspiration, palpable abdominal tensing in expiration, presence of irregular irregularity of respiratory rhythm with apneic pauses of varying duration, and coma or any condition preventing a patient from responding appropriately to commands aimed at producing ventilatory movements like those needed for vital capacity testing. When none of the six signs was present, there was a 90 percent chance of a favorable outcome. With one or two indicators positive, more than 50 percent of the subjects required further ventilatory support or died. There were no favorable outcomes when three or more of the signs were present together.</description><subject>Adult</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>Emergency and intensive respiratory care</subject><subject>Female</subject><subject>Humans</subject><subject>Intensive care medicine</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Muscles - physiopathology</subject><subject>Prognosis</subject><subject>Pulse</subject><subject>Respiration</subject><subject>Respiration, Artificial</subject><subject>Respiratory Distress Syndrome, Adult - diagnosis</subject><subject>Respiratory Distress Syndrome, Adult - mortality</subject><subject>Respiratory Distress Syndrome, Adult - therapy</subject><subject>Respiratory Function Tests</subject><issn>0012-3692</issn><issn>1931-3543</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1984</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kMtL7DAUh4MoOlfduhNmIS4utObRJM3S170KgiC6Dpnk1Il02jGnHfG_NzqDuHEVkvN7nHyEHDFaMqHrMz8HHMpalrzkVGyRCTOCFUJWYptMKGW8EMrwPfIH8YXmOzNql-yq_KaMmZC_FxAwBpher1w7uiH23bRvpg-Ay5jc0Kf36VXEIQHiAdlpXItwuDn3ydO_68fLm-Lu_v_t5fld4Suqh4Kr4INnmlcGdB1MZYQOXuvQmDCrVDWTsqLMGy6k9FJ4oaiQBpQBaYSqhdgnp-vcZepfx_w7u4jooW1dB_2ItqaG15LrLCzXQp96xASNXaa4cOndMmo_4dgvOLaWltsMJxuON8njbAHhW76hkecnm7lD79omuc5H_JaZSispfvTO4_P8LSawuHBtm0PFuvGlH1Pn2h-99doAGdsqQrLoI3QeQjb7wYY-_rbyBx-9j7I</recordid><startdate>198402</startdate><enddate>198402</enddate><creator>Pardee, Neely E.</creator><creator>Winterbauer, Richard H.</creator><creator>Allen, John D.</creator><general>Elsevier Inc</general><general>American College of Chest Physicians</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>198402</creationdate><title>Bedside Evaluation of Respiratory Distress</title><author>Pardee, Neely E. ; Winterbauer, Richard H. ; Allen, John D.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c407t-26dcdc17249e78d94937dc77df9db464b55401c92355c53c360359e69e5936833</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1984</creationdate><topic>Adult</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>Emergency and intensive respiratory care</topic><topic>Female</topic><topic>Humans</topic><topic>Intensive care medicine</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Muscles - physiopathology</topic><topic>Prognosis</topic><topic>Pulse</topic><topic>Respiration</topic><topic>Respiration, Artificial</topic><topic>Respiratory Distress Syndrome, Adult - diagnosis</topic><topic>Respiratory Distress Syndrome, Adult - mortality</topic><topic>Respiratory Distress Syndrome, Adult - therapy</topic><topic>Respiratory Function Tests</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Pardee, Neely E.</creatorcontrib><creatorcontrib>Winterbauer, Richard H.</creatorcontrib><creatorcontrib>Allen, John D.</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Chest</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Pardee, Neely E.</au><au>Winterbauer, Richard H.</au><au>Allen, John D.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Bedside Evaluation of Respiratory Distress</atitle><jtitle>Chest</jtitle><addtitle>Chest</addtitle><date>1984-02</date><risdate>1984</risdate><volume>85</volume><issue>2</issue><spage>203</spage><epage>206</epage><pages>203-206</pages><issn>0012-3692</issn><eissn>1931-3543</eissn><coden>CHETBF</coden><abstract>Observations made at the time of the first trial of independent ventilation in 112 episodes of mechanical ventilatory support led to identification of a group of indicators, each of which, when present, was significantly associated (p less than 0.05) with a need for continued mechanical ventilation and/or with death. Six of these were potentially suitable for use in a format for clinical assessment of the risk of respiratory failure: pulse over 120 or under 70 beats per minute, respiratory rate of over 30, palpable scalene muscle recruitment in inspiration, palpable abdominal tensing in expiration, presence of irregular irregularity of respiratory rhythm with apneic pauses of varying duration, and coma or any condition preventing a patient from responding appropriately to commands aimed at producing ventilatory movements like those needed for vital capacity testing. When none of the six signs was present, there was a 90 percent chance of a favorable outcome. With one or two indicators positive, more than 50 percent of the subjects required further ventilatory support or died. There were no favorable outcomes when three or more of the signs were present together.</abstract><cop>Northbrook, IL</cop><pub>Elsevier Inc</pub><pmid>6692699</pmid><doi>10.1378/chest.85.2.203</doi><tpages>4</tpages></addata></record>
fulltext fulltext
identifier ISSN: 0012-3692
ispartof Chest, 1984-02, Vol.85 (2), p.203-206
issn 0012-3692
1931-3543
language eng
recordid cdi_proquest_miscellaneous_80928527
source MEDLINE; Alma/SFX Local Collection
subjects Adult
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Biological and medical sciences
Emergency and intensive respiratory care
Female
Humans
Intensive care medicine
Male
Medical sciences
Muscles - physiopathology
Prognosis
Pulse
Respiration
Respiration, Artificial
Respiratory Distress Syndrome, Adult - diagnosis
Respiratory Distress Syndrome, Adult - mortality
Respiratory Distress Syndrome, Adult - therapy
Respiratory Function Tests
title Bedside Evaluation of Respiratory Distress
url https://sfx.bib-bvb.de/sfx_tum?ctx_ver=Z39.88-2004&ctx_enc=info:ofi/enc:UTF-8&ctx_tim=2025-02-01T00%3A01%3A28IST&url_ver=Z39.88-2004&url_ctx_fmt=infofi/fmt:kev:mtx:ctx&rfr_id=info:sid/primo.exlibrisgroup.com:primo3-Article-proquest_cross&rft_val_fmt=info:ofi/fmt:kev:mtx:journal&rft.genre=article&rft.atitle=Bedside%20Evaluation%20of%20Respiratory%20Distress&rft.jtitle=Chest&rft.au=Pardee,%20Neely%20E.&rft.date=1984-02&rft.volume=85&rft.issue=2&rft.spage=203&rft.epage=206&rft.pages=203-206&rft.issn=0012-3692&rft.eissn=1931-3543&rft.coden=CHETBF&rft_id=info:doi/10.1378/chest.85.2.203&rft_dat=%3Cproquest_cross%3E80928527%3C/proquest_cross%3E%3Curl%3E%3C/url%3E&disable_directlink=true&sfx.directlink=off&sfx.report_link=0&rft_id=info:oai/&rft_pqid=80928527&rft_id=info:pmid/6692699&rft_els_id=S0012369215401771&rfr_iscdi=true