Posts Tagged ‘hypoxemia’

Long-Term Oxygen for COPD

Posted by • October 27th, 2016

Two trials that were conducted in the 1970s showed that long-term treatment with supplemental oxygen reduced mortality among patients with chronic obstructive pulmonary disease (COPD) and severe resting hypoxemia. In the 1990s, two trials evaluated long-term treatment with supplemental oxygen in patients with COPD who had mild-to-moderate daytime hypoxemia; neither trial showed a mortality benefit,… Read More…

40-Year-Old Woman with Postpartum Dyspnea and Hypoxemia

Posted by • July 18th, 2014

In the latest Case Record of the Massachusetts General Hospital, a 40-year-old woman was admitted to this hospital 10 days post partum because of dyspnea and hypoxemia associated with leg edema and blood-tinged sputum. Diagnostic procedures were performed. Causes of dyspnea and hypoxemia in the peripartum period are predominantly of pulmonary or cardiovascular origin, the latter… Read More…

Pulmonary Thrombotic Microangiopathy

Posted by • January 6th, 2012

In our latest Clinical Problem-Solving article, a 50-year-old woman presented with fatigue and shortness of breath. Dyspnea after moderate exertion had developed gradually, along with profound malaise and a nonproductive cough. In the 48 hours before admission, her shortness of breath had worsened.     The clinicopathological syndrome of subacute cor pulmonale caused by tumor microemboli to the… Read More…

ECMO for Adult ARDS

Posted by • November 18th, 2011

In the latest article in our Clinical Therapeutics review series, a 41-year-old woman presents with severe pneumonia, and the acute respiratory distress syndrome (ARDS) develops. Despite mechanical ventilation, her oxygenation deteriorates. The use of extracorporeal membrane oxygenation (ECMO) is recommended. ARDS is characterized by the acute onset of hypoxemia and bilateral pulmonary infiltrates consistent with pulmonary… Read More…