Agonal respiration
Agonal respiration, gasping respiration or agonal breathing is a distinct abnormal pattern of
The term is sometimes (inaccurately) used to refer to labored, gasping breathing patterns accompanying organ failure (e.g. liver failure and kidney failure), SIRS, septic shock, and metabolic acidosis (see Kussmaul breathing, or in general any labored breathing, including Biot's respirations and ataxic respirations).
Agonal respirations are also commonly seen in cases of cardiogenic shock or cardiac arrest, where agonal respirations may persist for several minutes after cessation of heartbeat.[1][2][3] The presence of agonal respirations in these cases indicates a more favorable prognosis than in cases of cardiac arrest without agonal respirations. In an unresponsive, pulseless patient in cardiac arrest, agonal gasps are not effective breaths. Agonal respiration occurs in 40% of cardiac arrests experienced outside a hospital environment.[4]
References
- ^ PMID 12042401.
- ^ PMID 29496144, retrieved 2020-12-11
- ISBN 978-1-4160-3773-6
- PMID 1443844. Retrieved 21 February 2015.
External links
- "Incidence of Agonal Respirations in Sudden Cardiac Arrest". EMD Program. King County, Washington. 30 August 2003. Archived from the original on 10 February 2005. Retrieved 25 June 2012.
- Bång, Angela; Herlitz, Johan; Martinell, Sven (2003). "Interaction between emergency medical dispatcher and caller in suspected out-of-hospital cardiac arrest calls with focus on agonal breathing. A review of 100 tape recordings of true cardiac arrest cases". Resuscitation. 56 (1): 25–34. PMID 12505735.
- Hazinski, Mary Fran, ed. (2011). BLS for healthcare providers (New ed.). Dallas, Tex.: American Heart Association. ISBN 978-1616690397.
- Gasping, even the dead breathe Real footage of a person with cardiac arrest and terminal breathing (gasping)