ISSN 1941-5923

American Journal of Case Reports



Current Volume 15, 2014

Published: 2014-04-22

Difficult-to-wean: High index of suspicion

Alehegn Gelaye, Brijesh Patel, Wassim Farra, Bruce Kole

Am J Case Rep 2014;15:163-167

DOI: 10.12659/AJCR.890284


Abstract: Background: Failed planned extubation occurs in a minority of patients with acute respiratory failure requiring invasive mechanical ventilation. In patients presenting with acute respiratory failure with no identifiable cardiopulmonary causes, uncommon conditions, such as cervical spondylotic myelopathy, should be considered. In very rare instances, when cervical spondylotic myelopathy and syringomyelia present concomitantly, they can be devastating.
Case Report: A 57-year-old woman visited the emergency room (ER) after feeling unwell for several days. She was brought to the ER with acute respiratory distress and obtunded state with GCS of 6/15. She was hypotensive and agonally breathing. Her initial neurologic evaluation was unrevealing. Based on these findings, she was intubated. Over the next several days, she was difficult to wean from...

Keywords: Spinal Cord Compression, Syringomyelia, Difficult-to-wean



 

Related Articles

Coming Soon...

Published: 2014-04-19

New insights into the management of rhythm and conduction disorders after acute myocardial infarction


Lyudmila Korostovtseva, Yurii Sviryaev, Nadezhda Zvartau, Tatiana Druzhkova, Viktor Tikhonenko, Alexandra Konradi

Am J Case Rep 2014;15:159-162

DOI: 10.12659/AJCR.890357

Published: 2014-04-16

Bird fanciers’ lung induced by exposure to duck and goose feathers


Chad J. Cooper, Mohamed Teleb, Sherif Elhanafi, Shajeea Ajmal, German T. Hernandez

Am J Case Rep 2014;15:155-158

DOI: 10.12659/AJCR.890184