Gagal Napas: Pembimbing Dr. Ngakan Putu Parsama Putra, SPP (K) Presenter Dr. Muli Yaman
Gagal Napas: Pembimbing Dr. Ngakan Putu Parsama Putra, SPP (K) Presenter Dr. Muli Yaman
Gagal Napas: Pembimbing Dr. Ngakan Putu Parsama Putra, SPP (K) Presenter Dr. Muli Yaman
PEMBIMBING
dr. Ngakan Putu Parsama Putra, SpP (K)
Presenter
dr. Muli Yaman
1
Introduction
Respiratory disfunction clinically significant to
Respiratory Impairment
produce discomfortness
2
[Slide Prof. Menaldi Rasmin,SpP(K), 2015]
Respiratory Failure
5
Buku Ajar Pulmonologi dan Kedokteran Respirasi, 2018
Type 1. Hypoxaemic Respiratory Failure
5
Suh, E.S. and Hart, N., 2012. Respiratory failure. Medicine, 40(6), pp.293-297.
Type 2. Hypercapnic Respiratory Failure : an imbalance between neural
respiratory drive, the load on the respiratory muscles and capacity of the
respiratory muscles
6
Suh, E.S. and Hart, N., 2012. Respiratory failure. Medicine, 40(6), pp.293-297.
Etiology
• CNS causes due to depression of the neural drive to breath as in cases of
overdose of a narcotic and sedative.
• Disorders of the peripheral nervous system: Respiratory muscle and chest
wall weakness as in cases of Guillian-Barre syndrome and myasthenia gravis.
• Upper and lower airways obstruction: due to various causes as in cases of
exacerbation of chronic obstructive pulmonary diseases and acute severe
bronchial asthma
• Abnormalities of the alveoli that result in type 1 (hypoxemic) respiratory
failure as in cases of pulmonary edema and severe pneumonia.
11
Shebl, E. and Burns, B., 2018. Respiratory failure.
Evaluation
• AaDO2 ( Alveolar-arterial difference in oxygen tension)
Value Etiology Hypoxemia
19
THANK YOU