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Review
. 2006 Jul;82(969):438-45.
doi: 10.1136/pgmj.2005.043208.

Management of acute ventilatory failure

B Chakrabarti  1 , P M A Calverley
Affiliations
Review

Management of acute ventilatory failure

B Chakrabarti et al. Postgrad Med J. 2006 Jul.

Abstract

Acute ventilatory failure is a challenging yet increasingly common medical emergency reflecting the growing burden of respiratory disease. It is not a diagnosis in itself but the end result of a diversity of disease processes culminating in arterial hypoxaemia and hypercapnia. This review focuses on key management issues including giving appropriate oxygen therapy, treatment of the underlying aetiology as well as any precipitant factors and provision of assisted ventilation if required. Ventilatory assistance can be provided both invasively and non-invasively and the indications for either or both forms of assisted ventilation are discussed. Further emphasis is needed regarding advanced directives of care and clinicians should be aware of ethical issues regarding assisted ventilation.

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Conflict of interest statement

Conflict of interests: none.

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