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psnet.ahrq.gov/node/49638/psn-pdf
January 01, 2012 - That evening the child developed
respiratory distress with acidosis and fever. … resident physician notified the on-call ICU attending, who
came in from home to manage the child's respiratory … check on the
child at midnight and spoke with the resident, who indicated that the child had suffered respiratory … After stabilizing and monitoring the child's respiratory status, the ICU attending returned home. … The attending surgeon
and cardiologist were only briefed on the initial respiratory distress and did
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psnet.ahrq.gov/web-mm/mobility-lost-icu
August 01, 2018 - This led to a prolonged intensive care unit (ICU) stay for respiratory failure from an ischemic cardiac … therapist to manage the ventilator and respiratory issues, the nurse to assist with lines and tubes … Surviving critical illness: acute respiratory distress syndrome as experienced by patients and their … Early intensive care unit mobility in the treatment of acute respiratory failure. … Early activity is feasible and safe in respiratory failure patients.
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psnet.ahrq.gov/node/49517/psn-pdf
August 01, 2006 - The patient subsequently developed acute
respiratory distress syndrome (ARDS) and sepsis, presumably … The Commentary
High alert medications, opioids, and respiratory depression. … Respiratory depression, the most serious opioid-related adverse effect, is most common within
several … Fear of respiratory depression should not interfere with provision of appropriate analgesia. … Sedation typically precedes respiratory depression; thus, monitoring for sedation should be a routine
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psnet.ahrq.gov/web-mm/silent-pain-neck
August 19, 2020 - The nurse notified the covering physician, who asked about stridor or other respiratory symptoms. … Signs and symptoms of an expanding neck hematoma may include respiratory-specific symptoms such as stridor … Respiratory arrest due to an unrecognized hematoma under a cervical collar has occurred ( 15 ), and a … Respiratory-specific symptoms such as stridor, hypoxia, dyspnea, tachypnea, or tracheal deviation occur … March 29, 2023
WebM&M Cases
Respiratory Distress
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psnet.ahrq.gov/primer/coronavirus-disease-2019-covid-19-and-diagnostic-error
July 30, 2020 - pathogens such as rhinoviruses, parainfluenza virus 3, respiratory syncytial virus, Mycoplasma pneumonia … tract (e.g., bronchoalveolar lavage fluid, sputum) than in specimens obtained from the upper respiratory … Occurrence and timing of subsequent severe acute respiratory syndrome coronavirus 2 reverse-transcription … SARS-CoV-2 viral load in upper respiratory specimens of infected patients. … Diagnostic testing for severe acute respiratory syndrome-related Coronavirus-2: a narrative review.
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psnet.ahrq.gov/issue/impact-covid-19-pandemic-emergency-department-visits-and-patient-safety-united-states
July 14, 2021 - Using data from the CDC’s National Center for Immunization and Respiratory Diseases, this study assessed … Safety of Older Adults Residing in Nursing Homes
February 24, 2022
Evidence of respiratory
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psnet.ahrq.gov/issue/intensive-care-unit-nurse-staffing-and-risk-complications-after-abdominal-aortic-surgery
December 02, 2020 - Results demonstrated an increased risk for complications, including specific respiratory-related ones … Association between unmet nonmedication needs after hospital discharge and readmission or death among acute respiratory
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psnet.ahrq.gov/web-mm/routine-goes-awry
September 23, 2020 - In a study of more than 9,000 children in Australia, a positive respiratory history was predictive of … perioperative respiratory complications including laryngospasm, airway obstruction, and oxygen desaturation … While the cause of respiratory distress in this case was unclear, it perhaps could be related to perioperative … Balancing pain control and respiratory depression can be difficult with narcotic administration. … Risk assessment for respiratory complications in paediatric anaesthesia: a prospective cohort study.
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psnet.ahrq.gov/node/74164/psn-pdf
March 20, 2013 - This study focused on antibiotic prescribing in pediatric primary care for respiratory tract infections … providers were more likely to prescribe antibiotics for white children, more likely to diagnose
acute respiratory
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psnet.ahrq.gov/node/49628/psn-pdf
June 01, 2011 - In a
study of more than 9,000 children in Australia, a positive respiratory history was predictive of … perioperative
respiratory complications including laryngospasm, airway obstruction, and oxygen desaturation … While the cause of respiratory distress in this case was unclear, it perhaps could be related to perioperative … Balancing pain control and respiratory
depression can be difficult with narcotic administration. … Risk assessment for respiratory complications
in paediatric anaesthesia: a prospective cohort study.
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psnet.ahrq.gov/node/837913/psn-pdf
August 31, 2022 - At the hospital, testing for SARS-CoV-2, influenza, and respiratory syncytial virus (RSV) was negative … respiratory failure requiring air
transportation to the pediatric intensive care unit at a children … The young child in this case required high-flow
oxygen support for her respiratory failure. … While it is
reasonable to trial respiratory support while monitoring for clinical improvement, this … Regarding the present case of a child with respiratory failure, written transfer protocols outlining
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psnet.ahrq.gov/node/35703/psn-pdf
July 13, 2010 - MAC claims
involved older and more ill patients, with respiratory depression being the most frequent … injury-and-liability-associated-monitored-anesthesia-care-closed-claims-analysis
https://psnet.ahrq.gov/issue/adverse-respiratory-events-anesthesia-closed-claims-analysis
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psnet.ahrq.gov/node/849679/psn-pdf
June 28, 2023 - Case
A 56-year-old man was admitted with Coronavirus Disease 2019 (COVID-19) pneumonia and acute
respiratory … Over the following days, the respiratory therapist noted an air leak around the tracheostomy cuff; additional … Before this could happen, the patient developed increasing hypoxemia and
respiratory distress, ultimately … failure, inability to manage respiratory
secretions, inability to orally intubate, ventilatory support … Skills: Endotracheal tube and tracheostomy tube cuff care (respiratory therapy).
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psnet.ahrq.gov/web-mm/antibiotics-urisinusitis-simple-decision-gone-bad
January 01, 2014 - Commentary: Part 1
A healthy 53-year-old woman presented to her primary care physician with upper respiratory … Upper respiratory tract infection (URI) symptoms are among the most common presenting complaints to primary … Inflammation of the respiratory epithelium lining the paranasal sinuses (most commonly the maxillary … Take-Home Points
Inappropriate antibiotic prescribing remains common, especially for acute respiratory … Public beliefs and use of antibiotics for acute respiratory illness.
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psnet.ahrq.gov/web-mm/delayed-diagnosis-setting-virtual-care-remembering-physical-examination
April 29, 2020 - Evaluation for other respiratory viruses was also essential. … Unfortunately, the presumed respiratory infection and underlying comorbid condition distracted attention … The fact that this patient presented with respiratory symptoms may have made it seem less important and … It is likely that the physician staff were focused on ruling out respiratory viruses, and the nursing … In this case, the presumed upper respiratory infection and underlying comorbid conditions confounded
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psnet.ahrq.gov/web-mm/communication-failure-whos-charge
April 01, 2018 - That evening the child developed respiratory distress with acidosis and fever. … resident physician notified the on-call ICU attending, who came in from home to manage the child's respiratory … After stabilizing and monitoring the child's respiratory status, the ICU attending returned home. … The attending surgeon and cardiologist were only briefed on the initial respiratory distress and did … The surgeon and cardiologist were under the impression the child's issues were respiratory, not multi-system
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psnet.ahrq.gov/issue/medication-discrepancy-rates-and-sources-upon-nursing-home-intake-prospective-study
February 12, 2020 - Higher discrepancies occurred with respiratory and analgesic medications, underscoring the importance … of medication reconciliation for residents with respiratory conditions or pain.
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psnet.ahrq.gov/issue/predictors-adverse-events-patients-after-discharge-intensive-care-unit
December 08, 2021 - the most common adverse events following discharge from an intensive care unit and discovered that a respiratory … The value of adding a verbal report to written handoffs on early readmission following prolonged respiratory
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psnet.ahrq.gov/issue/complications-associated-anesthesia-transport-pediatric-patients-analysis-wake-safe-database
February 12, 2020 - Cardiac arrest and respiratory events occurred most frequently and largely affected very young children … A previous WebM&M discussed a perioperative respiratory event in a pediatric patient during intrahospital
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psnet.ahrq.gov/web-mm/anesthesia-weighty-issue
September 01, 2006 - Attempts at noninvasive ventilation failed and the patient was reintubated for hypercarbic respiratory … have been handled a bit differently, particularly with multiple risk factors for over-sedation and respiratory … of surgery, this patient's pain was treated with morphine, which caused somnolence and hypercarbic respiratory … discussion suggests, managing anesthesia in obese patients requires careful attention and understanding of respiratory … Characteristics of patients at higher risk of over sedation and respiratory depression.