Acute and Chronic Respiratory Failure
Respiratory failure is a problem getting gases in and out of the blood. Oxygen helps the body work well. Carbon dioxide is a waste product made in the body. It needs to pass out of the body through the lungs. Respiratory failure may be:
- Low levels of oxygen in the blood
- High levels of carbon dioxide in the blood
- Both low oxygen levels and high carbon dioxide levels
This condition can be life-threatening.
There are two types of respiratory failure:
- Acute—starts fast
- Chronic—happens slowly over time
|Oxygen Exchange in the Lungs|
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Things that raise the risk of acute respiratory failure are:
- Injuries to the lungs or chest
- Drug or alcohol abuse
- Inhaling smoke or fumes
- Severe head injury
- Choking or drowning
- Sudden illnesses
Things that raise the risk of chronic respiratory failure are:
- Long term lung problems, such as:
- Chronic obstructive pulmonary disease ( COPD )
- Chronic pneumonia
- Severe asthma
Problems that affect nerves and muscles, such as:
- Muscular dystrophy
- Amyotrophic lateral sclerosis
- Cystic fibrosis
- Spinal cord injuries
- Pulmonary embolism
The doctor will ask about symptoms and past health. A physical exam will be done. The doctor will listen for lung sounds.
Tests will check oxygen and carbon dioxide levels in the blood. They include:
- Blood tests
- Oximetry—a small clip on the finger, toe, or ear, that measures oxygen in the blood
Images of the chest and lungs may be done—to look for causes or injuries.
The goal is to improve oxygen or carbon dioxide levels in the body. Treatment depends on how severe the condition is.
Acute Respiratory Failure
The acute type is often treated in a hospital. Steps may include:
- Oxygen therapy—oxygen is passed to the lungs through tubes in the nose or mouth
- Mechanical ventilation—a machine that helps breathing until the condition is better
Other care may be given. It may ease discomfort or treat some causes. The acute type often goes away once the injury or illness has healed.
Chronic Respiratory Failure
The chronic type needs long term care. Oxygen therapy and breathing support will help. Other options may be:
- Home oxygen therapy— A machine or tank provides oxygen at home. Smaller units can be taken outside the home. Oxygen may only be needed during activity or 24 hours per day.
- Sleep support. A machine can help keep the airway open during sleep. A mask gently pushes air into the airways. Certain sleep positions or special beds may also ease breathing.
- Mechanical ventilation may be needed if breathing is too weak.
This content is reviewed regularly and is updated when new and relevant evidence is made available. This information is neither intended nor implied to be a substitute for professional medical advice. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with questions regarding a medical condition.
Edits to original content made by Denver Health.
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a (Acute Respiratory Failure; Chronic Respiratory Failure)
American Lung Association http://www.lung.org
Centers for Disease Control and Prevention http://www.cdc.gov
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Respiratory failure. National Heart, Lung and Blood Institute website. Available at: https://www.nhlbi.nih.gov/health-topics/respiratory-failure . Accessed August 10, 2021.