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Paradoxical respiration

MedGen UID:
534076
Concept ID:
C0231852
Sign or Symptom
Synonyms: Flail chest; Paradoxical breathing
SNOMED CT: Paradoxical respiration (12025005); Paradoxical breathing (12025005)
 
HPO: HP:0030207

Definition

Breathing movements in which the chest wall moves in on inspiration and out on expiration, in reverse of the normal movements. It may be seen in children with respiratory distress of any cause, which leads to indrawing of the intercostal spaces during inspiration. Patients with chronic airways obstruction also show indrawing of the lower ribs during inspiration, due to the distorted action of a depressed and flattened diaphragm. Crush injuries of the chest, with fractured ribs and sternum, can lead to a severe degree of paradoxical breathing. [from HPO]

Term Hierarchy

CClinical test,  RResearch test,  OOMIM,  GGeneReviews,  VClinVar  
  • CROGVParadoxical respiration

Recent clinical studies

Etiology

Kilic D, Gungor A, Kavukcu S, Okten I, Ozdemir N, Akal M, Yavuzer S, Akay H
J Invest Surg 2006 Nov-Dec;19(6):353-60. doi: 10.1080/08941930600985694. PMID: 17101604
Haraguchi S, Hioki M, Hisayoshi T, Yamashita K, Yamashita Y, Kawamura J, Hirata T, Yamagishi S, Koizumi K, Shimizu K
Surg Today 2006;36(3):225-9. doi: 10.1007/s00595-005-3134-0. PMID: 16493530
Kumar N, Folger WN, Bolton CF
Mayo Clin Proc 2004 Dec;79(12):1563-5. doi: 10.4065/79.12.1563. PMID: 15595343
Kamei Y, Torii S, Hasegawa T, Aoyama H, Yokoo K
Plast Reconstr Surg 2001 Feb;107(2):333-7. PMID: 11214046
Yamakage M, Kamada Y, Toriyabe M, Honma Y, Namiki A
J Clin Anesth 1999 Aug;11(5):375-9. PMID: 10526807

Diagnosis

Saraya T, Shimoda M, Hirata A, Takizawa H
BMJ Case Rep 2016 Jan 19;2016 doi: 10.1136/bcr-2015-213449. PMID: 26786681
Sarioglu B, Kose SS, Saritas S, Kose E, Kanik A, Helvaci M
J Child Neurol 2014 Nov;29(11):1519-23. Epub 2014 Feb 13 doi: 10.1177/0883073813513334. PMID: 24525997
La Quaglia MP
Semin Pediatr Surg 2008 Aug;17(3):173-80. doi: 10.1053/j.sempedsurg.2008.03.007. PMID: 18582823
Pereira MC, Mussi RF, Massucio RA, Camino AM, Barbeiro Ade S, Villalba Wde O, Paschoal IA
J Bras Pneumol 2006 Sep-Oct;32(5):481-5. PMID: 17268754
Giannini A, Pinto AM, Rossetti G, Prandi E, Tiziano D, Brahe C, Nardocci N
Intensive Care Med 2006 Nov;32(11):1851-5. Epub 2006 Sep 9 doi: 10.1007/s00134-006-0346-8. PMID: 16964485

Therapy

Kao MC, Lan CH, Huang CJ
Acta Anaesthesiol Taiwan 2012 Sep;50(3):126-30. Epub 2012 Sep 8 doi: 10.1016/j.aat.2012.08.007. PMID: 23026172
Akiba T, Marushima H, Nogi H, Kamiya N, Kinoshita S, Takeyama H, Morikawa T
Ann Thorac Cardiovasc Surg 2012;18(2):166-9. Epub 2011 Oct 28 PMID: 22033243
Nagayasu T, Yamasaki N, Tagawa T, Tsuchiya T, Miyazaki T, Nanashima A, Obatake M, Yano H
Interact Cardiovasc Thorac Surg 2010 Nov;11(5):581-4. Epub 2010 Aug 19 doi: 10.1510/icvts.2010.242040. PMID: 20724421
Kilic D, Gungor A, Kavukcu S, Okten I, Ozdemir N, Akal M, Yavuzer S, Akay H
J Invest Surg 2006 Nov-Dec;19(6):353-60. doi: 10.1080/08941930600985694. PMID: 17101604
Yamakage M, Kamada Y, Toriyabe M, Honma Y, Namiki A
J Clin Anesth 1999 Aug;11(5):375-9. PMID: 10526807

Prognosis

Sarioglu B, Kose SS, Saritas S, Kose E, Kanik A, Helvaci M
J Child Neurol 2014 Nov;29(11):1519-23. Epub 2014 Feb 13 doi: 10.1177/0883073813513334. PMID: 24525997
Akiba T, Takeishi M, Kinoshita S, Morikawa T
Interact Cardiovasc Thorac Surg 2011 Nov;13(5):536-8. Epub 2011 Aug 26 doi: 10.1510/icvts.2011.275479. PMID: 21873364
Pereira MC, Mussi RF, Massucio RA, Camino AM, Barbeiro Ade S, Villalba Wde O, Paschoal IA
J Bras Pneumol 2006 Sep-Oct;32(5):481-5. PMID: 17268754
Giannini A, Pinto AM, Rossetti G, Prandi E, Tiziano D, Brahe C, Nardocci N
Intensive Care Med 2006 Nov;32(11):1851-5. Epub 2006 Sep 9 doi: 10.1007/s00134-006-0346-8. PMID: 16964485
Haraguchi S, Hioki M, Hisayoshi T, Yamashita K, Yamashita Y, Kawamura J, Hirata T, Yamagishi S, Koizumi K, Shimizu K
Surg Today 2006;36(3):225-9. doi: 10.1007/s00595-005-3134-0. PMID: 16493530

Clinical prediction guides

Nagayasu T, Yamasaki N, Tagawa T, Tsuchiya T, Miyazaki T, Nanashima A, Obatake M, Yano H
Interact Cardiovasc Thorac Surg 2010 Nov;11(5):581-4. Epub 2010 Aug 19 doi: 10.1510/icvts.2010.242040. PMID: 20724421
Anzai Y, Ohya T
Brain Dev 2001 Dec;23 Suppl 1:S240-1. PMID: 11738882

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