an unusual cause of ventilatory failure in motor neurone disease

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ID: 201436
2017
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Ranked #21 of 40 articles by views in current treatment options in cardiovascular medicine

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Abstract
A patient previously diagnosed with motor neurone disease (MND) and gastrostomy-fed was under surveillance for ventilatory decline via our respiratory centre. At a planned review she was found to be hypercapnic, which would usually prompt an offer of non-invasive ventilation for home use. However, she was alkalotic and not acidotic as we might expect. Her serum potassium was checked urgently and confirmed as low. It was established that the community team had prescribed a feeding regime with insufficient potassium. Correction of hypokalaemia resolved her ventilatory failure. This case demonstrates the importance of co-ordinated care in the management of patients with MND.
Reference Key
mrcs2017respiratoryan Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors ;Epaminondas Markos Valsamis, MB BChir, MA (Cantab), MRCS;Ian Smith, BA (Hons), MA, MBBS, MRCP, MD;Adri De Sousa, BSc
Journal current treatment options in cardiovascular medicine
Year 2017
DOI
10.1016/j.rmcr.2017.03.013
URL
http://www.sciencedirect.com/science/article/pii/S2213007117301016
Keywords
respiratory failure

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