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Neurologische, neuromusculaire en psychiatrische pathologie

Neurologische, neuromusculaire en psychiatrische pathologie

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Pulmonale pre-operatieve status<br />

• Respiratoir fal<strong>en</strong> ⇔ algem<strong>en</strong>e spierzwakte<br />

• Inspiratoire spierzwakte<br />

−↑respiratoir ritme, ↑ I tijd, ↑ V D<br />

/ V T<br />

– hypov<strong>en</strong>tilatie, atelectase, hypoxemie<br />

– hypercapnie (spierkracht ↓ 70 %)<br />

• Expiratoire spierdysfunctie<br />

– ↓ hoest, klaring van bronchiale secreties<br />

– ↓ geforceerde expiratoire capasiteit<br />

→ ATELECTASE, BACTERIELE CONTAMINATIE

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