838 Not All Hypercapnia is COPD (original) (raw)
Sleep breathing disorder related to isolated unilateral or bilateral diaphragmatic dysfunction (DD), in the absence of a generalized neuromuscular disorder, is not well understood and often under-recognized. There have been only a few cases reported of apneas and hypoponeas during REM sleep due to diaphragmatic dysfunction. We present here, a case of an 62 year-old man who developed acute hypercapnic respiratory failure with presumed COPD exacerbation requiring invasive ventilation. A 62-year-old man was found on the sidewalk extremely short of breath and was intubated in the emergency department. Initial post-intubation arterial blood gas showed pH 7.1, pCO2 82, pO2 263, CO3 25.5. CXR showed no infiltrates. Echocardiography showed EFof 55%-65%. Long-term tobacco use supported the picture of COPD exacerbation. However, PFT was within normal limits. HSAT one year prior which showed severe OSA with AHI 52.6 event per hour. Patient had not pursued positive airway pressure (PAP) titrati...
Loading Preview
Sorry, preview is currently unavailable. You can download the paper by clicking the button above.