VENTILATORY MANAGEMENT OF THE PULMONARY BURN
Summary Ventilatory management begins with a consideration of the requirements for gas exchange. The impaired ventilatory apparatus may adequately cope with resting demands for gas exchange, but may be unable to meet the requirements of increased metabolism. Resting hypermetabolism may be particular...
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| Veröffentlicht in: | Annals of the New York Academy of Sciences 1968-08, Vol.150 (3), p.738-754 |
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| container_title | Annals of the New York Academy of Sciences |
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| creator | Lee Jr, Arthur B. Kinney, John M. |
| description | Summary
Ventilatory management begins with a consideration of the requirements for gas exchange. The impaired ventilatory apparatus may adequately cope with resting demands for gas exchange, but may be unable to meet the requirements of increased metabolism.
Resting hypermetabolism may be particularly severe in the burn patient. This hypermetabolism with its increased rates of gas exchange places severe prolonged demands on ventilation.
Measurements of blood gas tensions and gas exchange describe the balance between cardiopulmonary supply and tissue need for gas exchange. This balance becomes more evident when gas tension and gas exchange are considered respectively as intensive and extensive properties of the same system. The hazard to the burn patient of elevation in gas exchange, cardiac output and heat loss may be unsuspected when only measuring intensive variables such as gas tensions.
The specificity of the failure of oxygenation as the ultimate functional lesion of the pulmonary burn has been described.
Asepsis, chest physiotherapy, airway humidification and quantitation of ventilator and oxygen therapy have been emphasized in the successful management of the severe pulmonary burn. |
| doi_str_mv | 10.1111/j.1749-6632.1968.tb14726.x |
| format | Article |
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Ventilatory management begins with a consideration of the requirements for gas exchange. The impaired ventilatory apparatus may adequately cope with resting demands for gas exchange, but may be unable to meet the requirements of increased metabolism.
Resting hypermetabolism may be particularly severe in the burn patient. This hypermetabolism with its increased rates of gas exchange places severe prolonged demands on ventilation.
Measurements of blood gas tensions and gas exchange describe the balance between cardiopulmonary supply and tissue need for gas exchange. This balance becomes more evident when gas tension and gas exchange are considered respectively as intensive and extensive properties of the same system. The hazard to the burn patient of elevation in gas exchange, cardiac output and heat loss may be unsuspected when only measuring intensive variables such as gas tensions.
The specificity of the failure of oxygenation as the ultimate functional lesion of the pulmonary burn has been described.
Asepsis, chest physiotherapy, airway humidification and quantitation of ventilator and oxygen therapy have been emphasized in the successful management of the severe pulmonary burn.</description><identifier>ISSN: 0077-8923</identifier><identifier>EISSN: 1749-6632</identifier><identifier>DOI: 10.1111/j.1749-6632.1968.tb14726.x</identifier><identifier>PMID: 5248782</identifier><language>eng</language><publisher>Oxford, UK: Blackwell Publishing Ltd</publisher><subject>Aged ; Anesthesia ; Bandages ; Body Temperature Regulation ; Burns - metabolism ; Burns - physiopathology ; Carbon Dioxide - biosynthesis ; Carbon Dioxide - blood ; Carbon Dioxide - urine ; Cardiac Output ; Female ; Humans ; Hydrogen-Ion Concentration ; Hypercapnia - metabolism ; Hypoxia - metabolism ; Male ; Methods ; Middle Aged ; Oxygen - blood ; Oxygen Consumption ; Respiration ; Respiratory System - injuries ; Space life sciences ; Water - metabolism</subject><ispartof>Annals of the New York Academy of Sciences, 1968-08, Vol.150 (3), p.738-754</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4088-7b800fc240296846ba9a7cf7afc8870d63fd29cebd4ef3d209224d425bb18ed73</citedby><cites>FETCH-LOGICAL-c4088-7b800fc240296846ba9a7cf7afc8870d63fd29cebd4ef3d209224d425bb18ed73</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1749-6632.1968.tb14726.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1749-6632.1968.tb14726.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1416,27915,27916,45565,45566</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/5248782$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lee Jr, Arthur B.</creatorcontrib><creatorcontrib>Kinney, John M.</creatorcontrib><title>VENTILATORY MANAGEMENT OF THE PULMONARY BURN</title><title>Annals of the New York Academy of Sciences</title><addtitle>Ann N Y Acad Sci</addtitle><description>Summary
Ventilatory management begins with a consideration of the requirements for gas exchange. The impaired ventilatory apparatus may adequately cope with resting demands for gas exchange, but may be unable to meet the requirements of increased metabolism.
Resting hypermetabolism may be particularly severe in the burn patient. This hypermetabolism with its increased rates of gas exchange places severe prolonged demands on ventilation.
Measurements of blood gas tensions and gas exchange describe the balance between cardiopulmonary supply and tissue need for gas exchange. This balance becomes more evident when gas tension and gas exchange are considered respectively as intensive and extensive properties of the same system. The hazard to the burn patient of elevation in gas exchange, cardiac output and heat loss may be unsuspected when only measuring intensive variables such as gas tensions.
The specificity of the failure of oxygenation as the ultimate functional lesion of the pulmonary burn has been described.
Asepsis, chest physiotherapy, airway humidification and quantitation of ventilator and oxygen therapy have been emphasized in the successful management of the severe pulmonary burn.</description><subject>Aged</subject><subject>Anesthesia</subject><subject>Bandages</subject><subject>Body Temperature Regulation</subject><subject>Burns - metabolism</subject><subject>Burns - physiopathology</subject><subject>Carbon Dioxide - biosynthesis</subject><subject>Carbon Dioxide - blood</subject><subject>Carbon Dioxide - urine</subject><subject>Cardiac Output</subject><subject>Female</subject><subject>Humans</subject><subject>Hydrogen-Ion Concentration</subject><subject>Hypercapnia - metabolism</subject><subject>Hypoxia - metabolism</subject><subject>Male</subject><subject>Methods</subject><subject>Middle Aged</subject><subject>Oxygen - blood</subject><subject>Oxygen Consumption</subject><subject>Respiration</subject><subject>Respiratory System - injuries</subject><subject>Space life sciences</subject><subject>Water - metabolism</subject><issn>0077-8923</issn><issn>1749-6632</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1968</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqVkE1Pg0AQhjdGU2v1J5gQD54El2XZDy8GG0obKZiW2uhlw8eSUKmtbBvbfy8E0rtz2WTemWc2DwB3JjTMuh5Xhkkx1wmxkGFywoxdYmKKiHE4A_1TdA76EFKqM46sS3Cl1ApCEzFMe6BnI8woQ33w8O4G0cR3onD2oU2dwPHcad3RwpEWjV3tbeFPw8Cps5fFLLgGF3lcKnnTvQOwGLnRcKz7oTcZOr6eYsiYThMGYZ4iDFH9OUySmMc0zWmcp4xRmBErzxBPZZJhmVsZghwhnGFkJ4nJZEatAbhvudtq87OXaifWhUplWcbfcrNXgtmQcMSbwad2MK02SlUyF9uqWMfVUZhQNKrESjQ-RONDNKpEp0oc6uXb7so-WcvstNq5qfPnNv8tSnn8B1kEH86cWqwm6C2hUDt5OBHi6ksQalFbLANPfL6Ooe3BuVhafzTVg6o</recordid><startdate>196808</startdate><enddate>196808</enddate><creator>Lee Jr, Arthur B.</creator><creator>Kinney, John M.</creator><general>Blackwell Publishing Ltd</general><scope>BSCLL</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>196808</creationdate><title>VENTILATORY MANAGEMENT OF THE PULMONARY BURN</title><author>Lee Jr, Arthur B. ; Kinney, John M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4088-7b800fc240296846ba9a7cf7afc8870d63fd29cebd4ef3d209224d425bb18ed73</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1968</creationdate><topic>Aged</topic><topic>Anesthesia</topic><topic>Bandages</topic><topic>Body Temperature Regulation</topic><topic>Burns - metabolism</topic><topic>Burns - physiopathology</topic><topic>Carbon Dioxide - biosynthesis</topic><topic>Carbon Dioxide - blood</topic><topic>Carbon Dioxide - urine</topic><topic>Cardiac Output</topic><topic>Female</topic><topic>Humans</topic><topic>Hydrogen-Ion Concentration</topic><topic>Hypercapnia - metabolism</topic><topic>Hypoxia - metabolism</topic><topic>Male</topic><topic>Methods</topic><topic>Middle Aged</topic><topic>Oxygen - blood</topic><topic>Oxygen Consumption</topic><topic>Respiration</topic><topic>Respiratory System - injuries</topic><topic>Space life sciences</topic><topic>Water - metabolism</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lee Jr, Arthur B.</creatorcontrib><creatorcontrib>Kinney, John M.</creatorcontrib><collection>Istex</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>Annals of the New York Academy of Sciences</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lee Jr, Arthur B.</au><au>Kinney, John M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>VENTILATORY MANAGEMENT OF THE PULMONARY BURN</atitle><jtitle>Annals of the New York Academy of Sciences</jtitle><addtitle>Ann N Y Acad Sci</addtitle><date>1968-08</date><risdate>1968</risdate><volume>150</volume><issue>3</issue><spage>738</spage><epage>754</epage><pages>738-754</pages><issn>0077-8923</issn><eissn>1749-6632</eissn><abstract>Summary
Ventilatory management begins with a consideration of the requirements for gas exchange. The impaired ventilatory apparatus may adequately cope with resting demands for gas exchange, but may be unable to meet the requirements of increased metabolism.
Resting hypermetabolism may be particularly severe in the burn patient. This hypermetabolism with its increased rates of gas exchange places severe prolonged demands on ventilation.
Measurements of blood gas tensions and gas exchange describe the balance between cardiopulmonary supply and tissue need for gas exchange. This balance becomes more evident when gas tension and gas exchange are considered respectively as intensive and extensive properties of the same system. The hazard to the burn patient of elevation in gas exchange, cardiac output and heat loss may be unsuspected when only measuring intensive variables such as gas tensions.
The specificity of the failure of oxygenation as the ultimate functional lesion of the pulmonary burn has been described.
Asepsis, chest physiotherapy, airway humidification and quantitation of ventilator and oxygen therapy have been emphasized in the successful management of the severe pulmonary burn.</abstract><cop>Oxford, UK</cop><pub>Blackwell Publishing Ltd</pub><pmid>5248782</pmid><doi>10.1111/j.1749-6632.1968.tb14726.x</doi><tpages>17</tpages></addata></record> |
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| identifier | ISSN: 0077-8923 |
| ispartof | Annals of the New York Academy of Sciences, 1968-08, Vol.150 (3), p.738-754 |
| issn | 0077-8923 1749-6632 |
| language | eng |
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| source | MEDLINE; Wiley Journals |
| subjects | Aged Anesthesia Bandages Body Temperature Regulation Burns - metabolism Burns - physiopathology Carbon Dioxide - biosynthesis Carbon Dioxide - blood Carbon Dioxide - urine Cardiac Output Female Humans Hydrogen-Ion Concentration Hypercapnia - metabolism Hypoxia - metabolism Male Methods Middle Aged Oxygen - blood Oxygen Consumption Respiration Respiratory System - injuries Space life sciences Water - metabolism |
| title | VENTILATORY MANAGEMENT OF THE PULMONARY BURN |
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