Phlebotomy for rapid weaning and extubation in COPD patient with secondary polycythemia and respiratory failure
The increased incidence of ventilator-associated complications in patients with chronic obstructive pulmonary disease (COPD) necessitates rapid weaning and extubation. The presence of secondary polycythemia in this subgroup increases the incidence of stroke and myocardial infarction due to hypervisc...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2010-01-01
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| Series: | Lung India |
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| Online Access: | http://www.lungindia.com/article.asp?issn=0970-2113;year=2010;volume=27;issue=1;spage=24;epage=26;aulast=Tripathy |
| _version_ | 1818158433772240896 |
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| author | Tripathy Swagata Panda Sudhansu Rath Biswajit |
| author_facet | Tripathy Swagata Panda Sudhansu Rath Biswajit |
| author_sort | Tripathy Swagata |
| collection | DOAJ |
| description | The increased incidence of ventilator-associated complications in patients with chronic obstructive pulmonary disease (COPD) necessitates rapid weaning and extubation. The presence of secondary polycythemia in this subgroup increases the incidence of stroke and myocardial infarction due to hyperviscosity and tissue hypoxia. We present a 58-year-old male patient of COPD with secondary polycythemia (hematocrit 64%) who had possible hyperviscosity-related complications leading to cardiac arrest after a minor surgical procedure. The patient developed ventilator dependence after recovery. Phlebotomy was done to remove 10% of total blood volume. Symptomatic improvement was dramatic. Improvement in weaning indices like rapid shallow breathing index and PaO<sub> 2</sub> /PAO<sub> 2</sub> was observed facilitating rapid weaning and early extubation. Monitored, acute phlebotomy is safe and cost-effective. It decreases blood volume and viscosity, increases cardiac output and improves exercise tolerance in patients. |
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| format | Article |
| id | doaj.art-3b8178322bea4ba1b2481d45a61b6f14 |
| institution | Directory Open Access Journal |
| issn | 0970-2113 0974-598X |
| language | English |
| last_indexed | 2024-12-11T15:30:01Z |
| publishDate | 2010-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Lung India |
| spelling | doaj.art-3b8178322bea4ba1b2481d45a61b6f142022-12-22T01:00:06ZengWolters Kluwer Medknow PublicationsLung India0970-21130974-598X2010-01-012712426Phlebotomy for rapid weaning and extubation in COPD patient with secondary polycythemia and respiratory failureTripathy SwagataPanda SudhansuRath BiswajitThe increased incidence of ventilator-associated complications in patients with chronic obstructive pulmonary disease (COPD) necessitates rapid weaning and extubation. The presence of secondary polycythemia in this subgroup increases the incidence of stroke and myocardial infarction due to hyperviscosity and tissue hypoxia. We present a 58-year-old male patient of COPD with secondary polycythemia (hematocrit 64%) who had possible hyperviscosity-related complications leading to cardiac arrest after a minor surgical procedure. The patient developed ventilator dependence after recovery. Phlebotomy was done to remove 10% of total blood volume. Symptomatic improvement was dramatic. Improvement in weaning indices like rapid shallow breathing index and PaO<sub> 2</sub> /PAO<sub> 2</sub> was observed facilitating rapid weaning and early extubation. Monitored, acute phlebotomy is safe and cost-effective. It decreases blood volume and viscosity, increases cardiac output and improves exercise tolerance in patients.http://www.lungindia.com/article.asp?issn=0970-2113;year=2010;volume=27;issue=1;spage=24;epage=26;aulast=TripathyHyperviscosity complicationsphlebotomysecondary polycythemiaventilator dependenceweaning |
| spellingShingle | Tripathy Swagata Panda Sudhansu Rath Biswajit Phlebotomy for rapid weaning and extubation in COPD patient with secondary polycythemia and respiratory failure Lung India Hyperviscosity complications phlebotomy secondary polycythemia ventilator dependence weaning |
| title | Phlebotomy for rapid weaning and extubation in COPD patient with secondary polycythemia and respiratory failure |
| title_full | Phlebotomy for rapid weaning and extubation in COPD patient with secondary polycythemia and respiratory failure |
| title_fullStr | Phlebotomy for rapid weaning and extubation in COPD patient with secondary polycythemia and respiratory failure |
| title_full_unstemmed | Phlebotomy for rapid weaning and extubation in COPD patient with secondary polycythemia and respiratory failure |
| title_short | Phlebotomy for rapid weaning and extubation in COPD patient with secondary polycythemia and respiratory failure |
| title_sort | phlebotomy for rapid weaning and extubation in copd patient with secondary polycythemia and respiratory failure |
| topic | Hyperviscosity complications phlebotomy secondary polycythemia ventilator dependence weaning |
| url | http://www.lungindia.com/article.asp?issn=0970-2113;year=2010;volume=27;issue=1;spage=24;epage=26;aulast=Tripathy |
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