Kenneth M. Moser, M.D., F.A.C.P.; P. Gregg Rhodes, M.D.
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In 52 patients requiring pulmonary intensive care (PIC), including intubation and assisted ventilation, the acute complications producing sudden clinical deterioration were analyzed. Most had distinctive diagnostic features and were reversible if recognized promptly.
The five leading complications were  occlusion of main-stem bronchus by tube (6 patients). The endotracheal or long tracheostomy tube usually enters the right main-stem bronchus, occluding the left. Diagnostic features include sudden dyspnea, dullness and decreased breath sounds over the left hemithorax, leftward mediastinal shift, left lung opacification by X ray, and prompt response to tube repositioning;  cardiac arrhythmias (11 patients). Varied arrhythmias are so
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Moser KM, Rhodes PG. Causes of Sudden Deterioration During Pulmonary Intensive Care.. Ann Intern Med. 1967;66:1056. doi: 10.7326/0003-4819-66-5-1056_1
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Published: Ann Intern Med. 1967;66(5):1056.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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