Respiratory failure refers to the inability of the lungs to absorb enough oxygen from the ambient air into the blood and therefore to supply the organs with sufficient oxygen. You can damage lung tissue, respiratory muscles, lung, heart vessels and blood cells alone or a combination of different causes lead to this error. The result is in all cases the drop in oxygen levels in the blood. Depending on the case, it can also lead to an increase in carbon dioxide in the blood, which can be exhaled. This case concerns such as respiratory failure (breathing ventilation =). Respiratory failure can be both acute and chronic. acute respiratory failure is usually threatens the patient and often fatal.
Various causes can lead to respiratory failure. In most cases, it is due to lung disease. These include COPD, pneumonia, interstitial lung disease (eg. B. as pulmonary fibrosis) and, more generally, Hypoventilationssydnrom obesity. However, the nervous system and muscles (eg. B. dystrophy, amyotrophic lateral sclerosis, paraplegia) may cause respiratory failure. In addition to lung disease can cause heart disease (eg. As heart failure, myocardial infarction) of lead, diseases of pulmonary vessels (z. B. pulmonary embolism) or disorders of the hematopoietic system (z . B. anemia) for respiratory failure.
Symptoms of pulmonary failure can be acute or chronic.
Respiratorsiche acute deficiency is characterized by severe acute shortness of breath (dyspnea). The underlying basic diseases other symptoms such as cough, sputum can (frothy, purulent, bloody), added added pain in the chest when breathing. If the oxygen content is greatly reduced, collapse and blackouts occur, so that dyspnea is not noticeable. Lips and members are usually bluish.
In symptoms usually mild and chronic respiratory insufficiency are usually symptoms of the underlying disease first. The degree of correlation between the wrong dyspnea with the degree of oxygen saturation in the blood. Often they are also more prone to symptoms such as forgetfulness, failing mental and physical abilities to the fore. In the long term can existing Sauerstofmangel to changes in the fingers and fingernails (clubbing, watch glass) lead.
With an increase in symptoms of carbon dioxide such as headaches come in the morning and the water retention in the legs (edema). In advanced cases, loss of consciousness (the call. Narcosis CO2) is produced.
When should I see a doctor?
In acute dyspnea without obvious cause, a doctor should be consulted immediately. chronic respiratory symptoms or other such as reduced mental capacity, constant fatigue, persistent headaches in the morning should be evaluated by a doctor. For acute symptoms, moderate ER is often necessary. This is possible at any time by the Asklepios Klinik Altona Notfaufnahme center.
For stationary studies, of course, we are always available.
When to call an ambulance and an ambulance?
Louder particularly in relation to the symptoms of the threat, such as coughing up blood, more chest pain, palpitations or confusion, ambulance acute respiratory must be called immediately.
What we do for patients with respiratory failure?
It occurs in acute respiratory failure usually receive our emergency center. This will be the first diagnostic steps (test and monitoring circulatory parameters and the oxygen content in the blood, blood, x-rays) and possibly also already follow instruction (eg. As the CT scan of the lungs the echocardiogram heart). In addition to begin treatment. This includes the treatment of administration of the disease and the underlying oxygen, and in severe cases ventilation. Further processing is kept by gravity in a normal unit of the room or intensive care, depending.
In the case of chronic respiratory failure is the explanation of the causes first. With the help of diagnostic procedures such as pulmonary function tests and analysis of blood gases, imaging techniques such as computed tomography and potentially invasive techniques, such as bronchoscopy, it was d first identified the underlying disease. Then, the treatment of underlying disease and the treatment of respiratory insufficiency. Often, respiratory failure was significantly improved with proper treatment of the underlying disease and define z. and T .. If this is impossible, continuous oxygen is required. This is an adaptation of the doctors chamber and prescribed home.
If there is a permanent increase in carbon dioxide in the blood to be controlled, the indication for permanent ventilation. This is part of the hospital stay and adjustment of ventilation and fan control at home. Ventilation is achieved with few exceptions regularly like the call. Non-invasive ventilation, ie it is carried out through a mask, the mouth and nose or nose fixed.