Respiratory paralysis
| Classification according to ICD-10 | |
|---|---|
| R09.2 | Apnea |
| ICD-10 online (WHO version 2019) | |
As respiratory paralysis a is respiratory arrest Denoted by a stoppage of breathing activity without any external influence or interference (as is inhaled foreign bodies, pressure on the chest or strangulation ) comes off.
Depending on whether the respiratory center is affected or not, central or peripheral respiratory paralysis is divided:
Central respiratory paralysis
Central respiratory paralysis is caused by damage to the respiratory center . This can happen through
- Intoxication (e.g. from barbiturates )
- Electricity accident
- a basilar artery thrombosis
- Bleeding into the brain stem
- a flare-up of multiple sclerosis ; rarely, in two percent of those affected, as inflammatory / demyelinating foci in the respiratory center
Peripheral respiratory paralysis
Peripheral respiratory paralysis is caused by a failure of the respiratory muscles . Possible causes are
- Intoxication such as the (overdosed) use of muscle relaxants, for example in the context of anesthesia
- Electricity accident
- Myasthenia gravis pseudoparalytica
- poliomyelitis
- Polyneuropathy
- Paraplegia above the spinal cord segment C4
As an acute consequence, there is a threat of an insufficient supply of oxygen to the brain, and death within minutes in the case of complete respiratory paralysis. As an immediate measure, a respiratory donation should be carried out as a first aid measure or ventilation , possibly as part of a resuscitation . During anesthesia, this is done as controlled ventilation taking into account various vital parameters .
Trivia
A hallucination or dream of respiratory arrest can occur while falling asleep or waking up, see sleep paralysis .
Individual evidence
- ^ A b Hugo Karel Van Aken, Konrad Reinhart, Tobias Welte, Markus Weigand: Intensive Care Medicine . Georg Thieme Verlag, 2014, ISBN 978-3-13-151143-0 ( limited preview in Google book search).
- ↑ Hans A. Kühn: Internal Medicine. A textbook for medical and medical students . Part 2: Digestive organs · Kidneys · Urinary tract · Endocrinology · Metabolism · Immunopathology · Physical influences · Poisoning · Vegetative disorders . Springer-Verlag, 2013, ISBN 978-3-642-65282-0 ( limited preview in the Google book search [accessed December 6, 2016]).
