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The Airway and Lungs
Extremely useful and relevant information can be obtained when analysing the position assumed by patients with dyspnoea. Relief of breathlessness in a sitting or standing position compared to the recumbent position is referred to as orthopnoea. While increased venous return in the supine patient is...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7122865/ http://dx.doi.org/10.1007/978-3-319-77365-0_5 |
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author | Dünser, Martin W. Dankl, Daniel Petros, Sirak Mer, Mervyn |
author_facet | Dünser, Martin W. Dankl, Daniel Petros, Sirak Mer, Mervyn |
author_sort | Dünser, Martin W. |
collection | PubMed |
description | Extremely useful and relevant information can be obtained when analysing the position assumed by patients with dyspnoea. Relief of breathlessness in a sitting or standing position compared to the recumbent position is referred to as orthopnoea. While increased venous return in the supine patient is well tolerated in individuals with a preserved heart function, this leads to pulmonary venous congestion, an increase in interstitial lung water and a subsequent reduction of lung capacities with resultant shortness of breath in patients with impaired heart function. Accordingly, patients with heart failure prefer to sit upright (e.g. supporting their back with pillows to achieve a maximum upright position) (Fig. 5.1). Conversely, placing the patient into a supine position may be used as a stress test to exclude respiratory distress due to heart failure or (pulmonary) fluid overload. A history of paroxysmal nocturnal dyspnoea characterized by repeated awakening due to breathlessness while sleeping in the recumbent position is a typical symptom of heart failure. |
format | Online Article Text |
id | pubmed-7122865 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
record_format | MEDLINE/PubMed |
spelling | pubmed-71228652020-04-06 The Airway and Lungs Dünser, Martin W. Dankl, Daniel Petros, Sirak Mer, Mervyn Clinical Examination Skills in the Adult Critically Ill Patient Article Extremely useful and relevant information can be obtained when analysing the position assumed by patients with dyspnoea. Relief of breathlessness in a sitting or standing position compared to the recumbent position is referred to as orthopnoea. While increased venous return in the supine patient is well tolerated in individuals with a preserved heart function, this leads to pulmonary venous congestion, an increase in interstitial lung water and a subsequent reduction of lung capacities with resultant shortness of breath in patients with impaired heart function. Accordingly, patients with heart failure prefer to sit upright (e.g. supporting their back with pillows to achieve a maximum upright position) (Fig. 5.1). Conversely, placing the patient into a supine position may be used as a stress test to exclude respiratory distress due to heart failure or (pulmonary) fluid overload. A history of paroxysmal nocturnal dyspnoea characterized by repeated awakening due to breathlessness while sleeping in the recumbent position is a typical symptom of heart failure. 2018-03-21 /pmc/articles/PMC7122865/ http://dx.doi.org/10.1007/978-3-319-77365-0_5 Text en © Springer International Publishing AG, part of Springer Nature 2018 This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic. |
spellingShingle | Article Dünser, Martin W. Dankl, Daniel Petros, Sirak Mer, Mervyn The Airway and Lungs |
title | The Airway and Lungs |
title_full | The Airway and Lungs |
title_fullStr | The Airway and Lungs |
title_full_unstemmed | The Airway and Lungs |
title_short | The Airway and Lungs |
title_sort | airway and lungs |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7122865/ http://dx.doi.org/10.1007/978-3-319-77365-0_5 |
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