Management of myxedematous respiratory failure: Review of ventilation and weaning principles

Citation
M. Behnia et al., Management of myxedematous respiratory failure: Review of ventilation and weaning principles, AM J MED SC, 320(6), 2000, pp. 368-373
Citations number
38
Language
INGLESE
art.tipo
Review
Categorie Soggetti
General & Internal Medicine","Medical Research General Topics
Journal title
AMERICAN JOURNAL OF THE MEDICAL SCIENCES
ISSN journal
0002-9629 → ACNP
Volume
320
Issue
6
Year of publication
2000
Pages
368 - 373
Database
ISI
SICI code
0002-9629(200012)320:6<368:MOMRFR>2.0.ZU;2-V
Abstract
Respiratory failure in myxedema is a complex medical emergency and may requ ire prolonged ventilatory assistance. Appropriate management of this medica l problem requires an understanding of its effects on the central nervous s ystem and peripheral neuromus-culoskeletal system. Weaning of these patient s can be very protracted and requires a diligent multidisciplinary apt;roac h. Because of its infrequency, ventilatory management of severe hypothyroid ism has not been studied in a controlled fashion. The first part of this re view discusses the mechanisms of respiratory failure in myxedema. The secon d part explores strategies in mechanical ventilation and weaning of myxedem atous patients.