Early identification of patients prone to develop adult respiratory distress syndrome. Am J Surg 1981 Dec;142(6):687-91
Date
12/01/1981Pubmed ID
7316033DOI
10.1016/0002-9610(81)90312-3Scopus ID
2-s2.0-0019757847 (requires institutional sign-in at Scopus site) 19 CitationsAbstract
Fifty-nine intubated nonhypoxic patients with clinical criteria associated with adult respiratory distress syndrome were studied. Clinical measurement were sought to identify patients before severe hypoxemia occurred. Etiologic factors, chest roentgenography, effective static compliance, intrapulmonary shunt and arterial blood gases on 40 and 100 percent inspired oxygen were analyzed. Pulmonary failure occurred in 22 patients, while 37 had minimal pulmonary difficulties. Comparison of these two groups revealed that only sequential arterial oxygen tensions accurately predicted pulmonary deterioration. A 40 percent arterial oxygen pressure below 100 torr and a 100 percent oxygen pressure below 350 torr indicated a 95 percent probability of pulmonary deterioration. When either determination was above these levels, the probability of pulmonary deterioration was 10 percent. The use of sequential arterial blood gases allows the selection of high risk patients for adult respiratory distress syndrome. This ensures that therapy is offered at the most beneficial time.
Author List
Weigelt JA, Snyder WH 3rd, Mitchell RAMESH terms used to index this publication - Major topics in bold
Bacterial InfectionsFemale
Humans
Lung Compliance
Male
Middle Aged
Oxygen
Prognosis
Respiration, Artificial
Shock
Wounds and Injuries
