TY  - CHAP
M1  - Book, Section
TI  - Chapter 30. Management of a Patient Admitted to the ICU with Impending Respiratory Failure Due to a Suspected Infectious Etiology
A1  - Wong, David T.
A2  - Hung, Orlando
A2  - Murphy, Michael F.
Y1  - 2012
N1  - 
T2  - Management of the Difficult and Failed Airway, 2e
AB  - A  47-year-old  previously  healthy  male  physician  presented  to  hospital  with  the  acute  onset  of  fever,  nonproductive  cough,  dyspnea,  and  malaise.  As  an  intensive  care  unit  (ICU)  physician,  he  had  intubated  the  trachea  of  a  known  Severe  Acute  Respiratory  syndrome  (SARS)  patient  in  the  emergency  department  2  weeks  earlier.  He  began  to  have  respiratory  symptoms  1  week  later.  He  was  admitted  and  placed  in  an  isolation  room.  Both  sputum  and  blood  cultures  were  negative.  In  spite  of  empiric  treatment  with  broad-spectrum  antibiotics,  his  respiratory  status  progressively  worsened  over  the  next  24  hours,  necessitating  ICU  admission.  His  vitals  on  admission  to  the  ICU  were  respiratory  rate  (RR)  24  breaths  per  minute,  heart  rate  (HR)  100  beats  per  minute  (bpm),  BP  130/90  mm  Hg,  and  temperature  38.6°C.  Oxygen  saturation  was  95%  on  an  FiO2  of  60%,  and  arterial  blood  gases  (ABGs)  revealed  the  following:  pH  7.45,  PCO2  30,  PO2  60.  With  the  PO2  to  FiO2  ratio  (PF  ratio)  determined  to  be  100,  respiratory  failure  was  diagnosed.  The  chest  x-ray  (CXR)  showed  progressive  bilateral  basal  infiltrates.  A  complete  blood  count,  electrolytes,  creatinine,  and  liver  function  tests  were  all  normal,  but  LDH  was  elevated.  Neurological  and  cardiovascular  systems  were  intact  on  examination.  
SN  - 
PB  - The McGraw-Hill Companies
CY  - New York, NY
Y2  - 2024/04/19
UR  - accessanesthesiology.mhmedical.com/content.aspx?aid=55870222
ER  -