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*  Week 3 Resp Flashcards by Adam Little | Brainscape
Inspiration involves diaphragm, external intercostals and accessory respiratory muscles. 33 Define hyperpnoea ... An increase in volume of thoracic cavity (diaphragm and muscle activity) increases elastic cost ... Abdominal muscles, internal intercostals and innermost internal intercostals. Active, uses muscles to increase speed of air ... Elastic recoil of lung tissue when muscles relax. Decrease in lung volume and increased lung pressure. Air flows out. ...
  https://www.brainscape.com/flashcards/week-3-resp-3838209/packs/3758509
*  Primary Neuromuscular Disease in the ICU - ONA
3. Palpation of accessory respiratory muscles. In cases of severe muscle weakness, palpating accessory muscles may be more ... L - Loss of muscle mass. The loss of muscle mass itself can result in weakness. Conditions that can result in muscle loss ... intercostal and accessory muscles such as the sternocleidomastoid and scalene muscles may blunt typical symptoms of respiratory ... Generalized weakness and respiratory failure due to dysfunction of the peripheral nervous system or muscles. The dysfunction ...
  https://www.oncologynurseadvisor.com/critical-care-medicine/primary-neuromuscular-disease-in-the-icu/article/586661/
*  High-intensity versus low-intensity noninvasive positive pressure ventilation in patients with acute exacerbation of chronic...
In total, 600 AECOPD patients with low to moderate hypercapnic respiratory failure will be included and randomized to receive ... neck muscles taut but with no respiratory modulation (i.e., tonic activity); 2, mild respiratory modulation in neck muscle ... excessive amount of respiratory secretions with weak cough; use of accessory respiratory muscles or thoracic-abdominal ... use of accessory respiratory muscles, or thoracic-abdominal paradoxical movement; or decreased consciousness, agitation, or ...
  https://trialsjournal.biomedcentral.com/articles/10.1186/s13063-018-2991-y
*  Difficulty weaning from mechanical ventilation; Failure to wean, respiratory failure, ventilator dependence
... decreased respiratory rate, decreased use of accessory respiratory muscles and improving ventilation as assessed by arterial ... In the presence of hypoxemia oxygen delivery to the respiratory muscles may be inadequate, predisposing to muscle fatigue or ... In either case increased work of breathing predisposes to the development of respiratory muscle fatigue and, if respiratory ... presence of thoracoabdominal paradox or excessive use of accessory respiratory muscles.. Development of other signs of distress ...
  https://www.neurologyadvisor.com/critical-care-medicine/difficulty-weaning-from-mechanical-ventilation-failure-to-wean-respiratory-failure-ventilator-dependence/article/585146/
*  Pediatric Oncologic Emergencies - ONA
General anesthesia will remove the increased work of breathing and the accessory respiratory muscles. In addition patient will ... Calcium is used as a signaling molecule in skeletal muscle, cardiac muscle, and the central nervous system (among others). Low ... Avoid any sedation which may reduce respiratory effort, or eliminate the use of secondary muscles of respiration. These forces ... The body compensates primarily for intrathoracic mass by increasing use of accessory muscles, applying more force to bypass the ...
  https://www.oncologynurseadvisor.com/critical-care-medicine/pediatric-oncologic-emergencies/article/587376/
*  Close-packed position | definition of close-packed position by Medical dictionary
A position that may be assumed during respiratory distress to facilitate the use of respiratory accessory muscles. The patient ... Any of several postures that reduce edema and the shortening of ligaments and tendons caused by abnormal muscle tone, e.g., in ... The jaw muscles are relaxed. Synonym: rest position. posterior-anterior position. Abbreviation: PA position. In radiology, a ...
  https://medical-dictionary.thefreedictionary.com/close-packed+position
*  Hick-up | definition of Hick-up by Medical dictionary
... the efferent impulse is carried by the phrenic nerve with branches to the glottis and accessory respiratory muscles. Aetiology ... An abrupt inspiratory muscle contraction, followed within 35 msec by glottic closure; the hiccup center is in the spinal cord ... the efferent impulse is carried by the phrenic nerve with branches to the glottis and accessory respiratory muscles Etiology ... As a result, the automatic respiratory centers in the brain call for stronger and deeper breathing to get rid of the carbon ...
  https://medical-dictionary.thefreedictionary.com/Hick-up
*  Emergency Management of Myasthenia Gravis
Patients may also use neck and abdominal muscles. Use of accessory respiratory muscle in MG patients is an important sign that ... respiratory effort may not be sustained. However, generalized muscle weakness in MG patients can at times mask accessory muscle ... Check for retraction of supraclavicular fossa and intercostal spaces as indicators of respiratory accessory muscle usage. ... Weak respiratory muscles may suddenly fatigue, producing precipitous respiratory collapse.. *BiPAP is an alternative to ...
  http://www.myasthenia.org/HealthProfessionals/EmergencyManagement.aspx
*  Emergency Management of Myasthenia Gravis
Use of accessory respiratory muscle in MG patients is an important sign that respiratory effort may not be sustained. However, ... Weak respiratory muscles may suddenly fatigue, producing precipitous respiratory collapse. Elective intubation is preferable to ... can experience respiratory muscle weakness leading to respiratory insufficiency. Pending respiratory failure necessitating ... Check for retraction of supraclavicular fossa and intercostal spaces as indicators of respiratory accessory muscle usage. ...
  http://myasthenia.org/HealthProfessionals/EmergencyManagement.aspx
*  Penn Vet | About Dr. Kubin
Guest Editor of the Special Issue of Respiratory Physiology and Neurobiology titled "Accessory Respiratory Muscles, their ... The sleep-related decrements in upper airway muscle activity are caused by state-dependent changes in activity of ... Member of the Editorial Board of Respiratory Physiology and Neurobiology. 2003 Organizer and chair of the symposium titled: " ... Co-organizer and faculty at a full-day course titled "Respiratory Neurobiology - What Is the Latest?" during the Annual ...
  http://www.vet.upenn.edu/research/academic-departments/biomedical-sciences/our-research/neuroscience/kubin-laboratory/about-dr-kubin
*  Popping, Cracking, Clicking Sternum (Breastbone) Rib Joint | Healthhype.com
... the intercostal muscles (between the ribs) and accessory respiratory muscles. It would account for the chest pain at the time. ... Muscle spasm may also cause sublaxation of the joint as the degree of flexibility is limited due to 'tight' muscles. This is ... Breathing wont make it hurt, but any kind of flexing of the muscle under a load will make it hurt a little. It might of been ... He is very stubborn and refuses to see a doctor (I'd have to drag him). The last doctor gave him a muscle-relaxant to help him ...
  http://www.healthhype.com/popping-cracking-clicking-sternum-breastbone-rib-joint.html
*  The Malignant Hyperthermia-Susceptible Parturient and Other Neuromuscular Disorders during Pregnancy
Patients with serious respiratory compromise due to weakness and wasting of the accessory respiratory muscles may experience ... Anesthetic concerns in these patients include respiratory compromise due to muscle weakness and the avoidance of a myotonic ... Avoids potential respiratory deterioration due to blockade of accessory respiratory muscles associated with neuraxial ... which could impede vaginal delivery and lead to respiratory difficulty if the accessory respiratory muscles are involved. The ...
  https://www.psychiatryadvisor.com/anesthesiology/the-malignant-hyperthermia-susceptible-parturient-and-other-neuromuscular-disorders-during-pregnancy/article/581284/
*  Combined standard medication and acupuncture for COPD: a case series | Acupuncture in Medicine
... respiratory accessory muscle groups are mobilised during ventilation.21 It is thought that increased oxygen consumption caused ... Needling on the acupuncture points which exist on the respiratory muscles causes relaxation of the muscles, which may support ... American Thoracic Society and European Respiratory Society. statement on respiratory muscle testing. Am J Respir Crit Care Med ... 19 We speculate that a similar phenomenon was evoked in the respiratory accessory muscles by needling on the acupuncture points ...
  http://aim.bmj.com/content/30/2/96
*  Lytico-bodig disease - Wikipedia
Diaphragm and respiratory accessory muscles can become paralyzed necessitating mechanical ventilation to facilitate breathing. ... Patient presentations include muscle atrophy, maxillofacial paralysis, inability to speak or swallow and subsequent choking. ...
  https://en.wikipedia.org/wiki/Lytico-bodig_disease
*  Myositis - ONA
Respiratory - Use of accessory muscles to breathe.. 3. Laboratory, radiographic and other tests that are likely to be useful in ... Muscle biopsy (avoid severely weak muscles or muscles that were recently punctured during EMG). ... In patients with more severe weakness, and particularly if there is weakness of the bulbar or respiratory muscles, a quicker ... The muscle fibers become hyperexcitable, leading to spontaneous depolarization and contraction of a single muscle fiber, which ...
  https://www.oncologynurseadvisor.com/hospital-medicine/myositis/article/600026/
*  Pneumonia: Salient Points to Remember & Role of Homeopathy - Arora's Homeopathic Clinic
... use of accessory respiratory muscles; tachycardia or bradycardia; central cyanosis; altered mental status ... Joint and muscle pains. *Unconsciousness, hypothermia and convulsions: especially in severely ill infants or old age patients. ... We are specializing in dealing with skin diseases, respiratory diseases, musculoskeletal disorders and allergic disorders. Our ...
  http://arorasclinic.com/pneumonia-salient-points-remember-role-homeopathy/
*  Research Papers On Assessment And Treatment Of Status Asthmaticus. Asthma exacerbations · 5: Assessment and management of...
... use of accessory respiratory muscles; evidence of suprasternal retractions; and pulsus paradoxus ,12 mmHg. ... and increased work of breathing that may lead to ventilatory muscle fatigue and life-threatening respiratory failure. ... Dynamic hyperinflation adds an elastic load to inspiratory muscles: to initiate inspiratory flow the inspiratory muscles must ... and enhances respiratory muscle fatigue and ventilatory failure [26,27]. ...
  http://nwyzbh.wz.cz/10-research-papers-on-assessment-and-treatment-of-status-asthmaticus.php
*  Respiratory Failure in Neuromuscular disease - ONA
Diaphragm: most important muscle of respiration. Innervated by C3-C5. *. Diaphragmatic paralysis → use of accessory muscles. ... High C-spine injury (above C1-C3) → paralysis of all major respiratory muscles (accessory and bulbar muscles spared). Requires ... All can lead to respiratory failure due to decreased pump function of respiratory muscles and ineffective cough. May present as ... Respiratory muscle weakness common. Respiratory failure is uncommon, but may be initial presenting symptom. ...
  https://www.oncologynurseadvisor.com/critical-care-medicine/respiratory-failure-in-neuromuscular-disease/article/585858/
*  Pediatric Emergency Assessment by alejandro kitzis on Prezi
lower respiratory tract disease. Transient Tachypnea of Newborn. head bobbing. seen in respiratory distress-- accessory muscle ... Status Asthmaticus/ Imminent Respiratory Failure. somnolence, tiring of breathing muscles, cyanosis, silent chest. impending ... severe respiratory distress. retractions: subcostal, intercostal, suprasternal. accessory muscle use (note sternocleidomastoid ... Pulse rate/ respiratory rate:. be wary of bradycardia, bradypnea. #1 Cause of cardiac arrest in kids is respiratory arrest. BP ...
  https://prezi.com/pnyxhj1g2cwr/pediatric-emergency-assessment/
*  Cycasin - Wikipedia
The disease is fatal in all cases, with the diaphragm and respiratory accessory muscles becoming paralyzed in the later stages ... It is characterized by muscle atrophy, maxillofacial paralysis, inability to speak or swallow, and dementia. ...
  https://en.wikipedia.org/wiki/Cycasin
*  Acute severe asthma - Wikipedia
... use of accessory respiratory muscles, fast and/or labored breathing, and extreme wheezing. It is a life-threatening episode of ... Complications include cardiac and/or respiratory arrest. It is characterized histologically by smooth muscle hypertrophy and ... These processes lead to airway obstruction by constriction of the smooth muscles, edema of the airways, influx of inflammatory ... "Ketamine versus aminophylline for status asthmatic in children: A randomized, controlled trial." European respiratory journal ...
  https://en.wikipedia.org/wiki/Acute_severe_asthma
*  Local anesthetic nerve block - Wikipedia
... will be blocked so this block should only be done on patients who have use of their accessory respiratory muscles. The block ... The saphenous nerve is numbed at the medial part of the lower thigh under the sartorius muscle. The lumbar plexus block is an ... The nerve is located in the gluteus maximus muscle. The popliteal block is done for ankle, achilles tendon, and foot surgery. ... The interscalene block is done at the neck where the brachial plexus emerges between the anterior and middle scalene muscles. ...
  https://en.wikipedia.org/wiki/Local_anesthetic_nerve_block
*  Glycogen storage disease type II - Wikipedia
... and poor facial muscle tone. Cardiopulmonary involvement is manifested by increased respiratory rate, use of accessory muscles ... Respiratory failure is the most common cause of death. Enlargement of the heart muscles and rhythm disturbances are not ... One of the first symptoms is a progressive decrease in muscle strength starting with the legs and moving to smaller muscles in ... The usual presenting features are cardiomegaly (92%), hypotonia (88%), cardiomyopathy (88%), respiratory distress (78%), muscle ...
  https://en.wikipedia.org/wiki/Glycogen_storage_disease_type_II
*  Respiratory examination - Wikipedia
Pursed-lip breathing Accessory muscle use, including the scalene and intercostal muscles. Diaphragmatic breathing, paradoxical ... Retractions can be supra-sternal, where the accessory muscles of respirations of the neck are contracting to aid inspiration. ... IETE Tech Rev 2013;30:248-56 Respiratory exam - University of Florida Exam of the chest - University of Florida Respiratory ... so that patient does not subconsciously increase their baseline respiratory rate. Signs of respiratory distress may include: ...
  https://en.wikipedia.org/wiki/Respiratory_examination
*  Muscles of respiration - Wikipedia
Use of the accessory muscles while at rest is often interpreted as a sign of respiratory distress. During quiet breathing, ... or respiratory dysfunction (e.g. an asthma attack). The diaphragm is the major muscle responsible for breathing. It is a thin, ... Along with the diaphragm, the intercostal muscles are one of the most important groups of respiratory muscles. These muscles ... "Accessory muscles" refers to muscles that assist, but do not play a primary role, in breathing. There is some controversy ...
  https://en.wikipedia.org/wiki/Muscles_of_respiration