Amyotrophic Lateral Sclerosis Identified by Failure to Wean From Mechanical Ventilation
Journal of the Korean Geriatrics Society
;
: 162-166, 2012.
Artículo
en Coreano
| WPRIM
| ID: wpr-201999
ABSTRACT
In most cases of amyotrophic lateral sclerosis (ALS), respiratory muscle involvement is a late complication. Only 2.7% of ALS patients presenting with their first clinical symptoms in the extremities also experience respiratory symptoms. We report a case of an 81-year-old man with ALS, diagnosed by an unexplained failure to wean from mechanical ventilation. The patient was presented with acute respiratory failure, tachypnea and respiratory acidosis. Computed tomography of the chest showed large amounts of sputum in the trachea. An endotracheal tube was inserted, and the patient was placed on volume-controlled ventilation. However, in the course of recovery, he could not be weaned from mechanical ventilation, despite the absence of cardiopulmonary impairment. Having considered other causes of respiratory failure, wediagnosed ALS after a physical and neurologic examination and electrodiagnostic testing.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Respiración Artificial
/
Insuficiencia Respiratoria
/
Esputo
/
Tórax
/
Tráquea
/
Acidosis Respiratoria
/
Ventilación
/
Músculos Respiratorios
/
Extremidades
/
Taquipnea
Límite:
Anciano
/
Aged80
/
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Geriatrics Society
Año:
2012
Tipo del documento:
Artículo
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