Acil Serviste Dispne Olgusuna Yaklaşım
Synopsis
Dispne, acil servis başvurularının büyük kısmını oluşturan bir semptomdur. Hayatı tehdit eden bir çok sebepten dolayı ortaya çıkması sebebiyle acil servis hekiminin dispne olgusuna nasıl yaklaşacağını, nelere dikkat etmesi gerektiğini iyi bilmesi ve uygulaması önem arz etmektedir. Bu bölümde de dispne ile başvuran hastaya nasıl bir yaklaşım sergilenmesi gerektiği anlatılmıştır. Tanılara yönelik müdahaleler ve tedaviler diğer bölümlerde ayrıntılı anlatılmakta olup bu bölümde hastaya yaklaşım, ilk müdahale ve ayırıcı tanılar üzerine konuşulacaktır.
References
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American Thoracic Society: Dyspnea. Mechanism, Assessment and Management: A Concensus Statement. Am J Respir Care Med, 1999; 159:321-40.
Manning HL, Schwartzstein RM. Pathophysiology of dyspnea. N Engl J Med, 1995; 333: 1547-52
Bestall et al. Usefulness of the medical research council (MRC) dyspnea scale as a measure of disability in patients with chronic obstructive pulmonary disease. Thorax 1999; 54: 581-586
Wright SW. Conscious sedation in emergency department: the value of capnography and pulse oximetry. Ann Emerg Med, 1992; 21:551-555
Hanning CD, Williams LM. Pulse oximetry: a practical review. BMJ, 1995; 311:367-370
Yashinaga T, İkeda S, Shikuwa M, Miyahara Y, Kahna S. Relationship between electrocardiographic findings and pulmonary artery pressure in patients with acute massive pulmonary thromboembolism. Circ J, 2003; 67(3): 229-32.
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Wood Lawrence DH. The pathophysiology and differential diagnosis of acute respiratory failure. In: Wood Lawrence DH, Hall JB, Schmidt GA, editors. Principles of Critical Care. 3rd ed. McGraw-Hill Education; 2005. p. 417‐26.
Hari SM, Mackenzie IMJ. Respiratory failure. Surgery (Oxford) 2007; 25: 380‐7.
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Ray P, Birolleau S, Lefort Y, et al. Acute respiratory failure in the elderly: etiology, emergency diagnosis and prognosis. Crit Care 2006; 10:R82.
Rosen P: Emergency Medicine Concepts and Clinical Practice. Volume 1. The C.V. Mosby Company. St. Louis. Washington; 1988: 196-197.
American Thoracic Society: Dyspnea. Mechanism, Assessment and Management: A Concensus Statement. Am J Respir Care Med, 1999; 159:321-40.
Manning HL, Schwartzstein RM. Pathophysiology of dyspnea. N Engl J Med, 1995; 333: 1547-52
Bestall et al. Usefulness of the medical research council (MRC) dyspnea scale as a measure of disability in patients with chronic obstructive pulmonary disease. Thorax 1999; 54: 581-586
Wright SW. Conscious sedation in emergency department: the value of capnography and pulse oximetry. Ann Emerg Med, 1992; 21:551-555
Hanning CD, Williams LM. Pulse oximetry: a practical review. BMJ, 1995; 311:367-370
Yashinaga T, İkeda S, Shikuwa M, Miyahara Y, Kahna S. Relationship between electrocardiographic findings and pulmonary artery pressure in patients with acute massive pulmonary thromboembolism. Circ J, 2003; 67(3): 229-32.
Stapczynski JS. Respiratory Distress. In Tintinalli JE, Kelen GD, Stapczynski, JS, eds: Emergency Medicine A Comprehensive Study Guide, 5th Edition, North Carolina, McGraw-Hill 1999, pp. 443-51
Wood Lawrence DH. The pathophysiology and differential diagnosis of acute respiratory failure. In: Wood Lawrence DH, Hall JB, Schmidt GA, editors. Principles of Critical Care. 3rd ed. McGraw-Hill Education; 2005. p. 417‐26.
Hari SM, Mackenzie IMJ. Respiratory failure. Surgery (Oxford) 2007; 25: 380‐7.
United States Centers for Disease Control and Prevention. Interim infection prevention and control recommendations for healthcare personnel during the coronavirus disease 2019 (COVID-19) pandemic. https://www.cdc.gov/coronavirus/2019-ncov/hcp/infection-control-recommendations.html (Accessed on February 28, 2022).
Volume
Pages
45-56
Published
May 3, 2024
Copyright (c) 2024 Academician Publishing Book Portal
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LicenseHow to Cite
1.
Oymak M, Karcıoğlu Ö. Acil Serviste Dispne Olgusuna Yaklaşım. In: Akman C, Karcıoğlu Ö, editors. Dahili Aciller [Internet]. Türkiye: Academician Publishing Book DOI Portal; 2024 [cited 2026 Jul. 13]. pp. 45-56. Available from: https://omp35.books.akademisyen.net/index.php/akya/catalog/book/3074/chapter/13159
