Congestive Heart Failure Community
Post MV replacement ventilator dependence
About This Community:

This patient support community is for discussions relating to Congestive Heart Failure (CHF).

Font Size:
A
A
A
Background:
Blank
Blank
Blank
Blank Blank

Post MV replacement ventilator dependence

85 yr old female. MV replacement 2002. On and off admissions for dyspnoea. Investigated for weight loss for the last six months. All negative.This admission with ?CAP. Fluid restricted in the ward went in for renal impairment and respiratory failure. Required ventilation and CRRT. ECHO transthoracic dilated left atrium smalll welll contracting ventricle LV. NO pulmonary HT and RV normal. ON CPAP5 with FiO2 0.3 Pressure support of 12. Tracheostomy because of failure to come offf the ventilator. ON Carvedilol,Nepro  feeds because her Urea goes upto 26mmols when she is not on CRRT for 3 days. At present HR 80s,MAP around 65. Bronchoscopy Normal. CT abdomen normal.
Every time tried for spontaneous breathing becomes tachypneic and hypercarbic and hypoxic. On ventilator with above support very comfortable. But for the Urea rise every 3-4 days requiring one day of CRRT all parameters normal.
Is she having Restenosis. Could it be Ottner's syndrome. TOE is organised but cardiologists feel TTE is OK.Could you help me. Patient is with us for nearly 2 weeks
Related Discussions
Post a Comment
To
Blank
BloodPressure Tracker
Track your Heart Condition
Start Tracking Now
MedHelp Health Answers
Recent Activity
Avatar_f_tn
Blank
Rebeccat77 commented on Low potassium and no ...
Dec 16
168348_tn?1379360675
Blank
ChitChatNine made cookies last night! Comment
Dec 01
Avatar_n_tn
Blank
kjbascom added the Blood Pressure Tracker
Nov 07
Congestive Heart Failure Community Resources
RSS Expert Activity
469720_tn?1388149949
Blank
Abdominal Aortic Aneurysm-treatable... Blank
Oct 04 by Lee Kirksey, MDBlank
242532_tn?1269553979
Blank
The 3 Essentials to Ending Emotiona...
Sep 18 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Control Emotional Eating with this ...
Sep 04 by Roger Gould, M.D.Blank