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...
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Veröffentlicht in: | Chest 1984-02, Vol.85 (2), p.203-206 |
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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 |
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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&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> |
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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 |
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