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[Risk of respiratory insufficiency caused by thoracic rigidity].
Ned Tijdschr Geneeskd. 1997 Apr 12; 141(15):713-7.NT

Abstract

Three patients, a man aged 71 and two women aged 47 and 54, were admitted for chronic obstructive pulmonary disease and cardiac failure. All three had thoracic deformities, owing to earlier pneumonectomy with thoracoplasty because of pulmonary tuberculosis, congenital kyphoscoliosis, and infant poliomyelitis respectively. Such patients are at risk of developing chronic respiratory insufficiency because of chronic alveolar hypoventilation: muscle power decreasing with age gradually fails to meet the increased respiratory labour. Often, the respiratory insufficiency is not noticed because the problems are ascribed to secondary chronic obstructive pulmonary disease or cardiac failure. The first sign of imminent respiratory insufficiency is nocturnal carbon dioxide accumulation. Therapy consists of respiratory assistance at night by positive air pressure ventilation via a nose mask.

Authors+Show Affiliations

Academisch Ziekenhuis, Centrum voor Thuisbeademing en Intensive Care Beademing, Groningen.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Case Reports
English Abstract
Journal Article

Language

dut

PubMed ID

9213786

Citation

Meinesz, A F., et al. "[Risk of Respiratory Insufficiency Caused By Thoracic Rigidity]." Nederlands Tijdschrift Voor Geneeskunde, vol. 141, no. 15, 1997, pp. 713-7.
Meinesz AF, van der Werf TS, Tiesma A, et al. [Risk of respiratory insufficiency caused by thoracic rigidity]. Ned Tijdschr Geneeskd. 1997;141(15):713-7.
Meinesz, A. F., van der Werf, T. S., Tiesma, A., Bladder, G., & Zijlstra, J. G. (1997). [Risk of respiratory insufficiency caused by thoracic rigidity]. Nederlands Tijdschrift Voor Geneeskunde, 141(15), 713-7.
Meinesz AF, et al. [Risk of Respiratory Insufficiency Caused By Thoracic Rigidity]. Ned Tijdschr Geneeskd. 1997 Apr 12;141(15):713-7. PubMed PMID: 9213786.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - [Risk of respiratory insufficiency caused by thoracic rigidity]. AU - Meinesz,A F, AU - van der Werf,T S, AU - Tiesma,A, AU - Bladder,G, AU - Zijlstra,J G, PY - 1997/4/12/pubmed PY - 1997/4/12/medline PY - 1997/4/12/entrez SP - 713 EP - 7 JF - Nederlands tijdschrift voor geneeskunde JO - Ned Tijdschr Geneeskd VL - 141 IS - 15 N2 - Three patients, a man aged 71 and two women aged 47 and 54, were admitted for chronic obstructive pulmonary disease and cardiac failure. All three had thoracic deformities, owing to earlier pneumonectomy with thoracoplasty because of pulmonary tuberculosis, congenital kyphoscoliosis, and infant poliomyelitis respectively. Such patients are at risk of developing chronic respiratory insufficiency because of chronic alveolar hypoventilation: muscle power decreasing with age gradually fails to meet the increased respiratory labour. Often, the respiratory insufficiency is not noticed because the problems are ascribed to secondary chronic obstructive pulmonary disease or cardiac failure. The first sign of imminent respiratory insufficiency is nocturnal carbon dioxide accumulation. Therapy consists of respiratory assistance at night by positive air pressure ventilation via a nose mask. SN - 0028-2162 UR - https://www.unboundmedicine.com/medline/citation/9213786/[Risk_of_respiratory_insufficiency_caused_by_thoracic_rigidity]_ L2 - https://medlineplus.gov/chestinjuriesanddisorders.html DB - PRIME DP - Unbound Medicine ER -