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Akut lungmedicin

Akut lungmedicin. KOL exacerbation Akut/kronisk respiratorisk insufficiens Spontan pneumothorax Pleurit Astma Lunginfiltrat UNS. Ur guidelines från BTS/Thorax:. UUrrrrriiir MMARY OF RECOMMENDATIONS Introduction

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Akut lungmedicin

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  1. Akut lungmedicin • KOL exacerbation • Akut/kronisk respiratorisk insufficiens • Spontan pneumothorax • Pleurit • Astma • Lunginfiltrat UNS

  2. Ur guidelines från BTS/Thorax: UUrrrrriiirMMARY OF RECOMMENDATIONS Introduction • NIV has been shown to be an effective treatment for acute hypercapnic respiratory failure (AHRF), particularly in chronic obstructive pulmonary disease (COPD). Facilities for NIV should be available 24 hours per day in all hospitals likely to admit such patients. [A] • NIV should not be used as a substitute for tracheal intubation and invasive ventilation when the latter is clearly more appropriate. • The beneficial effects of NIV have mainly been demonstrated in patients with a respiratory acidosis (pH <7.35) • Bi-level pressure support ventilators are simpler to use, cheaper, and more flexible than other types of ventilator currently available; they have been used in the majority of randomised controlled trials of NIV and are recommended when setting up an acute NIV service. [C] • Volume controlled ventilators should be available in units wishing to provide a comprehensive acute NIV service. [C] Interfaces • A selection of different sizes of nasal masks, full-face masks, and nasal pillows should be available for NIV. [C] • Both nasal and full-face masks have been used successfully for NIV in AHRF. In the acute setting, a full-face mask should be used initially, changing to a nasal mask after 24 hours as the patient improves. [D]

  3. Algoritm vid pneumothorax Från: Baumann MH, Noppen M. Pneumothorax.Respirology. 2004 Jun;9(2):157-64. Review

  4. Man kan göra på olika sätt….

  5. Tru-close: inte bara ett gångjärn!

  6. Röntga lungorna • Lunginfiltrat måste följas upp!

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