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Doxapram in hypercapnic chronic obstructive pulmonary disease with respiratory failure

An 81-yr-old man with severe chronic obstructive pulmonary disease and hypercapnia presented to the emergency department (ED) obtunded and in acute respiratory distress. He had instructed his family to refuse intubation but agreed to all other measures to sustain his life. Treatment measures include...

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Published in:	The Journal of emergency medicine 1997-07, Vol.15 (4), p.513-515
Main Author:	KERR, H. D
Format:	Article
Language:	English
Subjects:	Aged Aged, 80 and over Biological and medical sciences Central Nervous System Stimulants - therapeutic use Chronic obstructive pulmonary disease, asthma Doxapram - therapeutic use Emergency Service, Hospital Humans Hypercapnia - complications Lung Diseases, Obstructive - complications Male Medical sciences Pneumology Respiratory Insufficiency - drug therapy Respiratory Insufficiency - etiology Resuscitation Orders
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container_issue	4
container_start_page	513
container_title	The Journal of emergency medicine
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creator	KERR, H. D
description	An 81-yr-old man with severe chronic obstructive pulmonary disease and hypercapnia presented to the emergency department (ED) obtunded and in acute respiratory distress. He had instructed his family to refuse intubation but agreed to all other measures to sustain his life. Treatment measures included the administration of intravenous doxapram, which was followed promptly by a marked improvement in his respiratory function and mentation. Respiratory stimulants may be useful as a temporizing measure in this difficult ED therapeutic problem.
doi_str_mv	10.1016/S0736-4679(97)00082-6
format	article
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Respiratory stimulants may be useful as a temporizing measure in this difficult ED therapeutic problem.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Central Nervous System Stimulants - therapeutic use</subject><subject>Chronic obstructive pulmonary disease, asthma</subject><subject>Doxapram - therapeutic use</subject><subject>Emergency Service, Hospital</subject><subject>Humans</subject><subject>Hypercapnia - complications</subject><subject>Lung Diseases, Obstructive - complications</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Pneumology</subject><subject>Respiratory Insufficiency - drug therapy</subject><subject>Respiratory Insufficiency - etiology</subject><subject>Resuscitation Orders</subject><issn>0736-4679</issn><issn>2352-5029</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1997</creationdate><recordtype>article</recordtype><recordid>eNo9kEtLxDAUhYMo4zj6Ewa6ENFF9SZpkmYp4xMGXPjYlts0ZSJ9mbTq_Hs7WGZ1Ft_H4d5DyJLCNQUqb15BcRknUulLra4AIGWxPCBzxgWLBTB9SOZ75ZichPAJQBWkdEZmmimtQMzJx137i53HOnJNtNl21hvsGmcis_HtLts89H4wvfu2UTdUddug30aFCxaDjX5cv4m8DZ3z2LcjKNFVg7en5KjEKtizKRfk_eH-bfUUr18en1e367ijAvqYs1JoWeSMQaFMaXKW2ARQJlwUtEBulNCAWiW52J2uTI6aggSK2piCpXxBLv57O99-DTb0We2CsVWFjW2HkCnNBEjKR3E5iUNe2yLrvKvHR7JpiJGfTxyDwar02BgX9hrj46Bpwv8AjGtuxg</recordid><startdate>199707</startdate><enddate>199707</enddate><creator>KERR, H. 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subjects	Aged Aged, 80 and over Biological and medical sciences Central Nervous System Stimulants - therapeutic use Chronic obstructive pulmonary disease, asthma Doxapram - therapeutic use Emergency Service, Hospital Humans Hypercapnia - complications Lung Diseases, Obstructive - complications Male Medical sciences Pneumology Respiratory Insufficiency - drug therapy Respiratory Insufficiency - etiology Resuscitation Orders
title	Doxapram in hypercapnic chronic obstructive pulmonary disease with respiratory failure
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