SMART phones and the acute respiratory patient.

Hdl Handle:
http://hdl.handle.net/10147/234496
Title:
SMART phones and the acute respiratory patient.
Authors:
Gleeson, L; Alam, J; Lane, S
Affiliation:
Department of Respiratory Medicine, AMNCH, Tallaght, Dublin 24. gleesole@tcd.ie
Citation:
SMART phones and the acute respiratory patient. 2012, 105 (5):143-6 Ir Med J
Publisher:
Iirish Medical Journal (IMJ)
Journal:
Irish medical journal
Issue Date:
May-2012
URI:
http://hdl.handle.net/10147/234496
PubMed ID:
22803492
Abstract:
Definition of Respiratory Failure using PaO2 alone is confounded when patients are commenced on oxygen therapy prior to arterial blood gas (ABG) measurement. Furthermore, classification of Respiratory Failure as Type 1 or Type 2 using PaCO2 alone can give an inaccurate account of events as both types can co-exist. 100 consecutive presentations of acute respiratory distress were assessed initially using PaO2, and subsequently PaO2/FiO2 ratio, to diagnose Respiratory Failure. Respiratory Failure cases were classified as Type 1 or Type 2 initially using PaCO2, and subsequently alveolar-arterial (A-a) gradient. Any resultant change in management was documented. Of 100 presentations, an additional 16 cases were diagnosed as Respiratory Failure using PaO2/FiO2 ratio in place of PaO2 alone (p = 0.0338). Of 57 cases of Respiratory Failure, 22 cases classified as Type 2 using PaCO2 alone were reclassified as Type 1 using A-a gradient (p < 0.001). Of these 22 cases, management changed in 18.
Item Type:
Article
Language:
en
ISSN:
0332-3102

Full metadata record

DC FieldValue Language
dc.contributor.authorGleeson, Len_GB
dc.contributor.authorAlam, Jen_GB
dc.contributor.authorLane, Sen_GB
dc.date.accessioned2012-07-19T10:22:30Z-
dc.date.available2012-07-19T10:22:30Z-
dc.date.issued2012-05-
dc.identifier.citationSMART phones and the acute respiratory patient. 2012, 105 (5):143-6 Ir Med Jen_GB
dc.identifier.issn0332-3102-
dc.identifier.pmid22803492-
dc.identifier.urihttp://hdl.handle.net/10147/234496-
dc.description.abstractDefinition of Respiratory Failure using PaO2 alone is confounded when patients are commenced on oxygen therapy prior to arterial blood gas (ABG) measurement. Furthermore, classification of Respiratory Failure as Type 1 or Type 2 using PaCO2 alone can give an inaccurate account of events as both types can co-exist. 100 consecutive presentations of acute respiratory distress were assessed initially using PaO2, and subsequently PaO2/FiO2 ratio, to diagnose Respiratory Failure. Respiratory Failure cases were classified as Type 1 or Type 2 initially using PaCO2, and subsequently alveolar-arterial (A-a) gradient. Any resultant change in management was documented. Of 100 presentations, an additional 16 cases were diagnosed as Respiratory Failure using PaO2/FiO2 ratio in place of PaO2 alone (p = 0.0338). Of 57 cases of Respiratory Failure, 22 cases classified as Type 2 using PaCO2 alone were reclassified as Type 1 using A-a gradient (p < 0.001). Of these 22 cases, management changed in 18.en_GB
dc.language.isoenen
dc.publisherIirish Medical Journal (IMJ)en_GB
dc.rightsArchived with thanks to Irish medical journalen_GB
dc.titleSMART phones and the acute respiratory patient.en_GB
dc.typeArticleen
dc.contributor.departmentDepartment of Respiratory Medicine, AMNCH, Tallaght, Dublin 24. gleesole@tcd.ieen_GB
dc.identifier.journalIrish medical journalen_GB
dc.description.provinceLeinsteren

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