User:Let Internet serve the eventual goal of Sociology/Silent chest

From Simple English Wikipedia, the free encyclopedia

Impending respiratory failure, also known as silent chest, is a life-threatening event due to the inability to breath deeply. It may occur in an asthma attack and is a sign of impending respiratory failure.[1][2][3][4][5][6]

Signs and symptoms[change | change source]

In the silent chest, audible wheezes disappear owing to constrained airflow. Other signs of silent chest suggestive of severe bronchospasm comprise use of accessory muscles, cyanosis, agitation[disambiguation needed], and depression. In those with silent chest, exhaustion, altered consciousness, increased carbon dioxide levels in the blood and acidosis also occur frequently.

Those gradually entering silent chest state might just feel so fatigued and lethargic and fail to recognize them as an early sign of respiratory failure, missing the golden hour to respond with emergency care.

Airway obstruction[change | change source]

Stridor, cough, and respiratory distress are suggesting moderate severity while marked retractions, poor air entry, fatigue, listlessness, or depressed level of consciousness signals a severe disease.[7]

People with narrow airway diameter are at an increased risk of severe airway obstruction in which the manifestations comprise cyanosis, somnolence, or combative behaviors associated with hypoxemia and/or hypercarbia. [7]

Reference[change | change source]

  1. ↑ "What Is an Asthma Attack?". WebMD. 2020-02-29. Archived from the original on 2020-02-29. Retrieved 2020-04-20. Gradually, your lungs may tighten so much during the asthma attack that there is not enough air movement to produce wheezing. This is sometimes called the "silent chest," and it is a dangerous sign. Unfortunately, some people interpret the disappearance of wheezing during the asthma attack as a sign of improvement and fail to get prompt emergency care.
  2. ↑ "Status Asthmaticus Clinical Presentation: History, Physical Examination". Medscape Reference. 2019-11-11. Archived from the original on 2020-03-24. Retrieved 2020-04-20. Determine whether the patient has a severe asthma exacerbation without wheezing (ie, the silent chest). Such patients may have such severe airway obstruction or be so fatigued that they are unable to generate enough airflow to wheeze. This is an ominous sign of impending respiratory failure
  3. ↑ "Asthma in children younger than 12 years: Initial evaluation and diagnosis". uptodate.com. 2017-12-19. Archived from the original on 2017-12-19. Retrieved 2020-04-20.{{cite web}}: CS1 maint: unfit URL (link)
  4. ↑ "Evaluation of the adult with dyspnea in the emergency department". UpToDate. 2020-04-13. Archived from the original on 2020-04-13. Retrieved 2020-04-20. {{cite web}}: Cite uses deprecated parameter |authors= (help)
  5. ↑ "Status Asthmaticus - Medical Joyworks". Explain Medicine. 2019-09-25. Archived from the original on 2019-09-25. Retrieved 2020-04-20.{{cite web}}: CS1 maint: unfit URL (link)
  6. ↑ "Acute Severe / Brittle Asthma and Status Asthmaticus - Doctor". Patient. 2016-11-30. Archived from the original on 2019-01-17. Retrieved 2020-04-20.
  7. ↑ 7.0 7.1 "Bacterial tracheitis in children: Clinical features and diagnosis". UpToDate. Retrieved 2020-04-20.
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