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ACCP-SEEK Board Review Question of the Month |

A 55-Year-Old Patient With Advanced COPD, Tracheostomy Tube, and Sudden Respiratory Distress*

Richard V. Hodder, MD, FCCP
Author and Funding Information

*From the ACCP-SEEK program, reprinted with permission. Items are selected by Department Editors Richard S. Irwin, MD, FCCP, and John G. Weg, MD, FCCP. For additional information about the ACCP-SEEK program, phone 1-847-498-1400.

Correspondence to: Richard V. Hodder, MD, FCCP, 1053 Carling Ave, Division of Respirology, Ottawa, On K1Y 4E9, Canada; e-mail: rhodder@ottawahospital.on.ca



Chest. 2002;121(1):279-280. doi:10.1378/chest.121.1.279
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Extract

You are called urgently to the general medical ward to see a 55-year-old woman with advanced COPD and sudden respiratory distress. Two hours previously, you had transferred her out of the ICU, where she had been treated for a COPD exacerbation for 1 month. Two weeks prior to this transfer, she had undergone tracheostomy to assist in weaning her from mechanical ventilation. When she left the ICU, she was alert and comfortable, breathing spontaneously via a cuffed tracheostomy tube (No. 7), and she was able to speak clearly with the periodic use of a one-way tracheostomy valve (Passy-Muir; Irvine, CA).

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