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- W4387233044 abstract "Neuromuscular respiratory failure has a high risk of morbidity and mortality. With improvements in respiratory care life expectancy is increasing; thus, these patients are more likely to present with unselected medical admissions. The primary treatment for patients with chronic neuromuscular respiratory failure is non-invasive ventilation and cough augmentation. Acute deterioration can be caused by lower respiratory tract infections, thromboembolic events or acute cardiac failure. In addition to treating the underlying precipitant of the decompensation, management involves titrating ventilator settings and secretion clearance techniques, early referral to critical care and engagement with the patient's specialist team. Unexplained acute respiratory failure can be the first presentation of a neuromuscular condition, and a thorough investigation to identify signs of an underlying condition should be performed. The perioperative period is a vulnerable period for these patients, so they should undergo a comprehensive evaluation and risk mitigation before surgery. The use of unregulated oxygen therapy increases the risk of decompensation and therefore should only be employed with appropriate monitoring and assessment of ventilation. Neuromuscular respiratory failure can be a challenge to manage on general medical wards, but awareness of the risks and engagement with specialist teams mean the risk of deterioration can be minimized." @default.
- W4387233044 created "2023-10-02" @default.
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- W4387233044 date "2023-10-01" @default.
- W4387233044 modified "2023-10-02" @default.
- W4387233044 title "Managing the patient with neuromuscular respiratory failure" @default.
- W4387233044 doi "https://doi.org/10.1016/j.mpmed.2023.08.011" @default.
- W4387233044 hasPublicationYear "2023" @default.
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