關於 respiratory failure ，我們在網路上蒐集到這些相關的討論、資訊與評價

Q: respiratory failure 在Facebook 的評價

5 kategori pesakit covid :Cat 1 ➡️ tak ada symptomCat 2 ➡️ ada symptomCat 3 ➡️ symptom with pneumonia (lung infection)Cat 4 ➡️ severe pneumonia & need oxygenCat 5 ➡️ ada organ failure & criticalPernah baca antivax tuduh ditidurkan = dimatikan. ApooSelalunya patient covid Cat4 atau Cat 5 need to be intubated sebab kegagalan paru2 yang teruk & tak dapat enough oxygen that eventually lead to respiratory failure. Kita akan nampak patient tercungap2 & penat sebab oxygen kurang & CO2 tinggi.So untuk make sure patient get enough oxygen, tiub pernafasan ni akan dimasukkan dalam trachea and this process is painful & can cause trauma if patient sedar masa intubation. That is why patient perlu dibius & ‘tidur’ sebelum intubate.Kalau tak intubate, patient condition akan get worse in no time and death is imminent.No doctor would intubate patient unecessarily

Q: respiratory failure 在Facebook 的評價

COVID-19病人的組織缺氧和呼吸衰竭（Hypoxia and lung failure in COVID-19):在大部份的COVID-19的病人，組織缺氧（hypoxia)是COVID-19的病人主要的和最嚴重的症徵症狀。維持足夠的氧氣供應釋出的補償機轉，包括增加呼吸做功（increase respiratory effort)，缺氧性的血管縮收（hypoxic vasocontriction)，以及增加心輸出量（increase cardiac output)。隨著COVID-19病人的嚴重度增加，這些補償的機制最後會失去它們的功效效力。更進一步減少功能性的肺容積（functional lung capacity)，組織缺氧變得更嚴重且威脅生命，以及通常需要加護照顧的支持，造成COVID-19病人變嚴重的機轉，包括：1.由於微血管的內皮細胞發炎炎症（endothelial inflammation)和微細小血栓（microthrombi)，以及肋膜積水（pleural effusion)，造成的增加死腔通氣（increased dead space ventilation)。2.因為瀰漫性的肺泡發炎（alveolitis)和肺水腫（pulmonary edema)，造成氣體擴散的屏障升高（elevated diffuse barrier)。3.因為肺塌陷（atelectasis)，肺實變化和纖維化（consolitation and fibrosis)，以及血管新生（angiogenesis)，造成由右向左分流增加（increased right-to left shunt)。總合這些機轉，減少肺泡氣體交換的功能，因此造成嚴重的的動脈低血氧症（hypoxemia)和組織缺氧（hypoxia)。資料來源：The COVID-19 puzzle:deciphering pathophysiology and phenotypes of a new disease entity: The Lancet respiratory medicine volume 9,issue 6,P622-642,June 01,2021感謝學長 #Cheng_Sheng_Tai 醫師 提供資料

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關於respiratory failure 在 Facebook 的最佳貼文
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關於respiratory failure 在 Dr 文科生 Facebook 的最佳解答

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關於respiratory failure 在 Breathing 01: types of respiratory failure - YouTube 的評價

respiratory failure 在 Facebook 的最佳貼文

2021-08-10 19:58:40 有 1,209 人按讚

5 kategori pesakit covid :

Cat 1 ➡️ tak ada symptom
Cat 2 ➡️ ada symptom
Cat 3 ➡️ symptom with pneumonia (lung infection)
Cat 4 ➡️ severe pneumonia & need oxygen
Cat 5 ➡️ ada organ failure & critical

Pernah baca antivax tuduh ditidurkan = dimatikan. Apoo

Selalunya patient covid Cat4 atau Cat 5 need to be intubated sebab kegagalan paru2 yang teruk & tak dapat enough oxygen that eventually lead to respiratory failure. Kita akan nampak patient tercungap2 & penat sebab oxygen kurang & CO2 tinggi.

So untuk make sure patient get enough oxygen, tiub pernafasan ni akan dimasukkan dalam trachea and this process is painful & can cause trauma if patient sedar masa intubation. That is why patient perlu dibius & ‘tidur’ sebelum intubate.

Kalau tak intubate, patient condition akan get worse in no time and death is imminent.

No doctor would intubate patient unecessarily

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respiratory failure 在 Facebook 的最讚貼文

2021-06-06 14:29:06 有 448 人按讚

COVID-19病人的組織缺氧和呼吸衰竭（Hypoxia and lung failure in COVID-19):

在大部份的COVID-19的病人，組織缺氧（hypoxia)是COVID-19的病人主要的和最嚴重的症徵症狀。

維持足夠的氧氣供應釋出的補償機轉，包括
增加呼吸做功（increase respiratory effort)，

缺氧性的血管縮收（hypoxic vasocontriction)，以及

增加心輸出量（increase cardiac output)。

隨著COVID-19病人的嚴重度增加，這些補償的機制最後會失去它們的功效效力。

更進一步減少功能性的肺容積（functional lung capacity)，組織缺氧變得更嚴重且威脅生命，以及通常需要加護照顧的支持，造成COVID-19病人變嚴重的機轉，包括：

1.由於微血管的內皮細胞發炎炎症（endothelial inflammation)和微細小血栓（microthrombi)，以及肋膜積水（pleural effusion)，造成的增加死腔通氣（increased dead space ventilation)。

2.因為瀰漫性的肺泡發炎（alveolitis)和肺水腫（pulmonary edema)，造成氣體擴散的屏障升高（elevated diffuse barrier)。

3.因為肺塌陷（atelectasis)，肺實變化和纖維化（consolitation and fibrosis)，以及血管新生（angiogenesis)，造成由右向左分流增加（increased right-to left shunt)。

總合這些機轉，減少肺泡氣體交換的功能，因此造成嚴重的的動脈低血氧症（hypoxemia)和組織缺氧（hypoxia)。

資料來源：
The COVID-19 puzzle:deciphering pathophysiology and phenotypes of a new disease entity: The Lancet respiratory medicine volume 9,issue 6,P622-642,June 01,2021

感謝學長 #Cheng_Sheng_Tai 醫師提供資料

Tags: respiratory failure Cheng_Sheng_Tai

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respiratory failure 在 Dr 文科生 Facebook 的最佳解答

By Dr 文科生

2020-11-17 09:30:51 有 847 人按讚

《每年都loop一loop急救知識嘅謬誤》

兩年前消防署「任何人」推廣全民CPR時，有一群「急救達人」指點江山，去講hands only CPR不作人工呼吸或者laymen隨便進行CPR會害死病人。

今日又有一群+/-上了30小時急救課拿著一封急救證書的「急救達人」去講Hands only CPR剔除人工呼吸就如餐蛋治走餐肉，實為欺世盜名。

首先，bystanders hands only CPR美國心臟病學會已經推廣了很多年，2016時早已更新了指引，建議民眾心肺復蘇法時，如覺得不適宜進行人工呼吸的話，可以只進行心外壓。

其次，當一名病人心臟停頓時已經是臨床上死亡（Clinically dead），無論進行任何急救或治療都不可能令病人情況更惡化。Any CPR is better than no CPR, with or without artificial ventilation

另外，我們不難發現很多時候這些急救達人，都總會用一些看似非常專業的醫療字眼，例如「保持空氣流通和患者呼吸暢」。但其實什麼是保持空氣流通？呼吸暢順呢？他們是不會告訴你的。

更甚的是，他們往往連什麼是氣道airway都不知道，自以為戴了一個口罩就會令病人的氣道堵塞，卻連怎樣打開病人的氣道都不知道。開airway要做的不是打開嘴巴，head tilt, jaw thrust, chin lift等等都是急救時常用的airway maneuver，滿口只是「戴口罩會堵塞氣道」代表他們根本就不認識怎樣打開氣道。

當遇上一個氣道被阻塞的病人，任由這群根本沒有足夠知識及訓練的人進行急救的話，氣道根本就不會被打開，就算有或沒有佩戴口罩的話病人仍然不會可以呼吸。如果你幫病人開了氣道的話，病人戴不戴口罩個airway都是patent，空氣一樣可以流通，不存在窒息風險。

而我不知道為病人帶一個口罩到底需要多久的時間，他們常常都會說與其為病人戴口罩，倒不如馬上立即為他們進行心肺復蘇法和人工呼吸才能提升救活率。彷彿戴個口罩需要用上三五七分鐘，不知道的話還以為戴口罩比插喉更困難更高階。

的確，不進行任何的保護措施直接進行心肺復蘇法當然是會有最好的效果，但是我們都知道急救的第一原則是要避免急救員負上不必要或可減少的風險，如果要做這種英雄式漠視風險、漠視現有醫學指南而且不合邏輯的急救，那是你個人的選擇，但這是受過專業醫學訓練的醫護人員不會做的事，亦是一般民眾不應該學習的對象。

最後，不難發現這種似是而非的言論總會舉一兩個看似關事但其實差之毫釐繆以千里的例子。例如這裡，他們說鴉片類藥物過量引起的昏迷的時候建議使用人工呼吸急救。在這種鴉片類藥物過量的情況下本來就不會需要用到心外壓，當病人仍有心跳，只是respiratory depression時當然不用進行心肺復蘇法，不進行心肺復蘇法並沒有心外壓的aerosol generating risk，幫病人戴上口罩的marginal benefit便沒有如進行心外壓的大。但當鴉片類藥物過量至cardiac arrest secondary to respiratory failure的時候，急救還是回到心肺復蘇法而不是提供氧氣或進行人工呼吸。

至於兒童cardiac arrest或drowning cardiac arrest，我不知道這名作者到底是看那一份指引或研究，無論是兒童或成人，cardiac arrest的急救都是心肺復蘇法，人工呼吸是optional的。
*optimal resuscitation include both compression+ventilation for pediatric patient but hands-only CPR is acceptable, any CPR is better than no CPR

**很多人說當初世衛以及外國的醫學指南也是說佩戴口罩並不能減少感染的風險，如果我們覺得醫學指南是絕對可信的話為什麼我們當初一直批評外國的指南。沒有人講過醫學指南一定是對的、一定不能被挑戰的，如果他們的建議或者研究的數據違反常識或邏輯的話，我們當然要挑戰並且要求這些機構改善他們的醫學指南，但你的挑戰的理據要合乎邏輯合乎常理而且合乎科學。不過，當你們連什麼是氣道、怎樣打開氣道、戴口罩到底怎樣影響氣道暢通也說不出來的時候，大眾怎能期望你們的論點是可信而且合乎科學及醫學理論的？

***我最近發現很多難以溝通而且缺乏基本醫學知識和理解能力的人出現，而且臉書的接觸率越來越低。為了改善讀者群的質素，我慢慢會同步將文章migrate到patreon，建議讀者們先行subscribe free membership閱讀免費文章，如有適合的文章才考慮轉做paid patron閱讀收費文章。

Link: https://www.patreon.com/munforsun

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Dr 文科生

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90後香港男生 Patreon專欄： https://www.patreon.com/user?u=32901195 Blogger in Meducia 你的健康夥伴 https://www.meducia.com/

respiratory failure 在コバにゃんチャンネル Youtube 的最讚貼文

By コバにゃんチャンネル

2021-10-01 13:19:08 有 9 人看過有 1 人喜歡

コバにゃんチャンネル

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コバにゃん☆です?

respiratory failure 在大象中醫 Youtube 的最佳解答

By 大象中醫

2021-10-01 13:10:45 有 0 人看過有 0 人喜歡

大象中醫

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長照是一個劇變的旋轉舞台百年難得一見沒有準備的人被旋轉舞台甩出去不是坐下就是躺下而大象中醫是太極的推手推動著旋轉舞台讓所有爬不起來的人背後有一股推手力量支撐再站起來

respiratory failure 在大象中醫 Youtube 的最讚貼文

By 大象中醫

2021-10-01 13:09:56 有 0 人看過有 0 人喜歡

大象中醫

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社群媒體上有些相關的討論：

respiratory failure 在 Breathing 01: types of respiratory failure - YouTube 的推薦與評價

First we'll look at the different types of respiratory failure, then we'll look at how to manage them using a ventilator. ... <看更多>

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#1. Respiratory failure - Wikipedia

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#22. Respiratory Failure | Johns Hopkins Medicine

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#23. Acute respiratory failure - Symptoms, diagnosis and treatment

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#39. Pediatric Respiratory Failure > Fact Sheets > Yale Medicine

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#48. Respiratory Failure | Spectrum Health Lakeland

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#49. Breathing 01: types of respiratory failure - YouTube

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#50. Acute Respiratory Failure Epidemiology - Journal of Hospital ...

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#51. Chronic respiratory failure | Air Liquide

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#57. Respiratory failure | Radiology Reference Article - Radiopaedia

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#59. Respiratory Failure Symptoms | Northwestern Medicine

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#61. Signs of Respiratory Distress - Health Encyclopedia - URMC

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#62. Patient Education Acute Respiratory Failure (Adult) - Elsevier

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Acute respiratory distress syndrome (ARDS) is a life-threatening lung injury that causes dangerously low oxygen levels in the blood.

#64. Acute Respiratory Distress Syndrome (ARDS) - Columbia ...

Acute respiratory distress syndrome (ARDS) occurs when the millions of tiny air sacs in the lungs, called alveoli, fill with excess fluid.

#65. Respiratory failure - Surgery - Oxford International Edition

Respiratory failure occurs when the respiratory system is unable to meet the body's physiological demand for oxygen and in some cases adequately ...

#66. Noninvasive Respiratory Support in Acute Hypoxemic ...

Acute hypoxemic respiratory failure usually refers to a patient with an increased breathing frequency and low oxygen saturation or PaO2/FIO2 ...

#67. Classification and common causes of respiratory failure *Note

Download scientific diagram | Classification and common causes of respiratory failure *Note: Hypoxemia and hypercarbic respiratory failure frequently ...

#68. Survival of Acute Respiratory Failure: A Study of 239 Episodes

Abstract Two hundred thirty-nine episodes of acute respiratory failure were studied prospectively in 146 patients with chronic respiratory insufficiency ...

#69. Acute respiratory failure mortality increases in United States ...

Damage lungs, severe respiratory illness, pneumonia, ARDS, acute respiratory distress syndrome caused A study conducted by UAB investigators ...

#70. Acute Respiratory Failure - Hennepin Healthcare

Acute Respiratory Distress Syndrome (ARDS); Pneumonia; Other critical pulmonary infections; Drowning; Inhalation injury; Chest Trauma; Pulmonary embolism; Acute ...

#71. Recognize Respiratory Distress or Failure

Respiratory distress or failure generally falls into one of four broad categories (Table 12): upper airway, lower airway, lung tissue disease, and central ...

#72. Respiratory failure, not elsewhere classified J96 - ICD-10

Respiratory failure, not elsewhere classified J96- · acute respiratory distress syndrome (. ICD-10-CM Diagnosis Code J80 · cardiorespiratory failure ( · newborn ...

#73. Respiratory failure (types I and II) | HealthEngine Blog

Causes of Type I respiratory failure: disease that damage lung tissue, including pulmonary oedema, pneumonia, acute respiratory distress ...

#74. COVID-19: Respiratory Failure

COVID-19 patients can develop rapid, severe hypoxic respiratory failure. In treating these patients, use caution when using nebulizers and higher oxygen flows ...

#75. Interaction of acute respiratory failure and acute kidney in

Investigating the joint effect of acute respiratory failure and acute kidney injury on in-hospital mortality in AECOPD patients.

#76. Respiratory Failure: An Overview | Thoracic Key

Respiratory failure is a condition in which the respiratory system fails in one or both of its gas-exchanging functions; that is, ...

#77. Respiratory failure - wikidoc

Saud Khan M.D.: Acute respiratory failure, type I respiratory failure, type II respiratory failure, type III respiratory failure, ...

#78. Acute Respiratory Distress Syndrome (ARDS) | Penn Medicine

Acute respiratory distress syndrome (ARDS) is life-threatening fluid build up in the lungs, preventing sufficient oxygen intake. Explore ARDS symptoms and ...

#79. Liver–lung interactions in acute respiratory distress syndrome

Acute respiratory distress syndrome (ARDS) is a severe respiratory failure, due to non-cardiogenic pulmonary edema [1, 2], associated with a ...

#80. Diagnosis and Management of Acute Respiratory Failure

While current recommendations for respiratory support in COVID-19 support the use of the high-flow nasal cannula for hypoxia, oxygen supplementation strategies ...

#81. Acute respiratory failure

Acute respiratory failure MCQ. 1. A 35 year old man is brought to the Emergency Room unresponsive by ambulance. He is cyanotic with a BP of 100/80 and pulse ...

#82. Acute respiratory insufficiency/ failure - Practical skills in ...

Respiratory failure (RF) is a pathological condition of the body in which the maintenance of normal gas composition of the blood is not provided, ...

#83. Acute respiratory distress syndrome | Nature Reviews Disease ...

The acute respiratory distress syndrome (ARDS) is a common cause of respiratory failure in critically ill patients and is defined by the ...

#84. Respiratory failure - VisualDx

Chronic respiratory failure occurs in association with chronic obstructive pulmonary disease (COPD) or chronic drug- or alcohol-induced ...

#85. Respiratory Failure in the Course of Treatment of Diabetic ...

Three patients developed acute respiratory failure during treatment of diabetic ketoacidosis (DKA) diagnosed by the combination of hyperglycemia, ...

#86. Respiratory Failure: Overview, Study Guide, and Practice ...

Respiratory failure is a term characterized by the inability of normal oxygenation or removal of carbon dioxide. During a breathing cycle, the body takes in ...

#87. The Kidney in Respiratory Failure and Mechanical Ventilation

Acute respiratory distress syndrome (ARDS) is the most severe form of ALI where this ratio (PaO2/FIO2) is <200. ALI and. ARDS occur in the setting of a variety ...

#88. Acute respiratory distress syndrome - ERS

Acute respiratory distress syndrome (ARDS) is an acute severe lung disease commonly encountered in intensive care units (ICU). It can be caused by several ...

#89. Acute Respiratory Distress Syndrome (Shock Lung) in Cats

Acute respiratory distress syndrome (ARDS) is a life-threatening complication of critical illness. These underlying critical illnesses may include sepsis, ...

#90. Lightning Learning: AHRF / Type 2 Respiratory Failure - EM3

Acute hypercapnic respiratory failure (AHRF) or Type 2 respiratory failure, is a failure of ventilation leading to acute hypercapnia with an ...

#91. ARDS (Acute Respiratory Distress Syndrome) - St Vincent's ...

Acute respiratory distress syndrome (ARDS) is a severe condition. Resulting in life threatening impairment of lung function and oxygen levels, ARDS can come ...

#92. Acute Respiratory Distress Syndrome - Wake Forest Baptist ...

Acute respiratory distress syndrome (ARDS) is a life-threatening lung condition that prevents enough oxygen from getting to the lungs and into the blood.

#93. How to treat patients with acute respiratory failure ...

The high-flow nasal cannula oxygen group consisted of patients admitted to the emergency department with acute respiratory failure when ...

#94. Plan for It: Respiratory Distress & How to Respond - St. Luke's ...

Know the Signs of Respiratory Distress · Increased breathing rate. When people have trouble breathing, they may take more breaths per minute to ...

#95. Diagnose Respiratory Distress and Respiratory Failure

Explained simply, respiratory distress is a condition wherein pulmonary activity is deemed insufficient to regulate oxygen and extract carbon dioxide from ...

#96. Management of severe respiratory failure in complex trauma ...

Respiratory failure can progress to acute respiratory distress syndrome (ARDS), occurring in up to 5% of blunt trauma patients admitted to ...

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