The Internet Book of Critical Care Podcast

IBCC Episode 122 - Respiratory Acidosis

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Mar 1, 2022
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INSIGHT

Contrasting Acute vs Chronic Hypercapnia

  • Chronic hypercapnia can present with mild symptoms due to suppressed respiratory drive.
  • Acute hypercapnia causes distress and increased breathing effort in people with normal respiratory drive.
INSIGHT

Complexity of Hypercapnia Interpretation

  • Blood gas interpretation of hypercapnia is complex and often misleading.
  • The same ABG can result from acute, chronic, or mixed respiratory and metabolic disturbances.
ADVICE

Categorize Hypercapnia Etiologies

  • Categorize hypercapnia causes as won't breathe, can't breathe, or breathing isn't working.
  • This helps identify issues with respiratory drive, neuromuscular problems, airway obstruction, or lung dead space.
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