PMID: 6407650Jun 18, 1983Paper

Artificial ventilation for neurological disease: retrospective analysis 1972-81

British Medical Journal
J G DouglasI W Grant

Abstract

During the 10 year period 1972-81, 39 patients with neurological disorders referred to a respiratory unit required artificial ventilation, seven on two occasions. The decision to undertake ventilation was usually made on clinical grounds because of deteriorating respiratory effort, ineffective cough, or inability to swallow. Arterial blood gas studies were of limited value in assessing the need for ventilation. The most frequent complication was bronchopulmonary infection which occurred in almost every patient, Staphylococcus pyogenes, Pseudomonas pyocyanea, and coliforms being the organisms most commonly isolated. In contrast, serious complications of tracheostomy and pulmonary thromboembolism occurred infrequently. There were 10 deaths among the 39 patients ventilated on 46 occasions; six were directly attributable to the neurological disease itself but four resulted from complications of artificial ventilation.

References

Jul 25, 1977·JAMA : the Journal of the American Medical Association·P C DowlingS D Cook
Apr 1, 1978·Chest·A NeuhausJ G Weg
Sep 14, 1970·JAMA : the Journal of the American Medical Association·L H Cooperman
Mar 1, 1982·Journal of Neurology, Neurosurgery, and Psychiatry·I T FergusonR G Lascelles
Jan 1, 1980·Annual Review of Medicine·R ZerbeG Robertson
Jan 24, 1981·British Medical Journal·R J FergussonI W Grant
Jan 1, 1982·The British Journal of Dermatology·B L DiffeyG Swanbeck
Jan 1, 1982·Clinical and Experimental Dermatology·J L HawkL Chaddock
Sep 25, 1981·JAMA : the Journal of the American Medical Association·K M MoserR G Spragg

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