Respiratory distress occurs when the lungs cannot provide adequate oxygenation or remove carbon dioxide efficiently, leading to life-threatening hypoxemia, hypercapnia, or both. Causes range from acute infections, trauma, or pulmonary embolism to chronic conditions like COPD exacerbations or neuromuscular weakness. Patients often present with rapid breathing, use of accessory muscles, cyanosis, and altered mental status, signaling urgent need for intervention. Early recognition and assessment using clinical examination, pulse oximetry, arterial blood gases, and imaging are essential to identify severity and underlying etiology.
Effective respiratory distress care involves rapid stabilization followed by targeted treatment. Oxygen supplementation, non-invasive ventilation, or intubation with mechanical ventilation may be required depending on the patient’s oxygenation and ventilation status. Addressing the underlying cause, whether through antibiotics for infection, bronchodilators for airway obstruction, or anticoagulation for embolic events, is critical to improving outcomes. Supportive measures such as fluid management, monitoring for complications, and sedation or analgesia when necessary enhance patient comfort and safety. Multidisciplinary collaboration among pulmonologists, critical care specialists, respiratory therapists, and nurses ensures continuous monitoring and individualized care. Early intervention, continuous reassessment, and adherence to evidence-based protocols in respiratory distress care significantly improve survival, reduce complications, and support recovery while optimizing long-term pulmonary function.
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Yong Xiao Wang, Albany Medical College, United States
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Allanys Joy Q Pino, Vicente Sotto Memorial Medical Center, Philippines
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Saurabh Chattopadhyay, University of Kentucky College of Medicine, United States
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