Sweeping Away Dyspnea

Editorial| July 2024 Sweeping Away Dyspnea This article has an Audio Podcast Nikolaos J. Skubas, M.D., D.Sc., F.A.C.C., F.A.S.E.; Nikolaos J. Skubas, M.D., D.Sc., F.A.C.C., F.A.S.E. 1Cardiothoracic Anesthesiology, Integrated Hospital-Care Institute, Cleveland Clinic, Cleveland, Ohio. Search for other works by this author on: This Site PubMed Google Scholar Martin J. London, M.D. Martin J. London, M.D. 2University of California–San Francisco, San Francisco, California. Search for other works by this author on: This Site PubMed Google Scholar Author and Article Information Accepted for publication April 4, 2024. This editorial accompanies the article on p. 87. This article has a related Infographic on p. A16. Address correspondence to Dr. Skubas: Anesthesiology July 2024, Vol. 141, 10–12. https://doi.org/10.1097/ALN.0000000000005010 Connected Content Article: Increasing Sweep Gas Flow Reduces Respiratory Drive and Dyspnea in Nonintubated Venoarterial Extracorporeal Membrane Oxygenation Patients: A Pilot Study Infographic: Don't Sweep It Under the Rug: Increased Sweep to Treat Dyspnea during ECMO Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Peer Review Share Icon Share Facebook Twitter LinkedIn Email Cite Icon Cite Get Permissions Search Site Citation Nikolaos J. Skubas, Martin J. London; Sweeping Away Dyspnea. Anesthesiology 2024; 141:10–12 doi: https://doi.org/10.1097/ALN.0000000000005010 Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search Dropdown Menu toolbar search search input Search input auto suggest filter your search All ContentAll PublicationsAnesthesiology Search Advanced Search Topics: dyspnea In this issue of Anesthesiology, Bureau et al.1 delineate the characteristics and treatment of dyspnea in a unique cohort of patients, namely spontaneously breathing patients with cardiogenic shock receiving modest pharmacologic and peripheral venoarterial extracorporeal mechanical oxygenation (ECMO) support on 2 l/min O2via nasal cannulae. By adjusting the venoarterial ECMO sweep gas flow, Bureau et al.1 provided relief of dyspnea, in parallel with a reduction in respiratory drive. Dyspnea, like pain, is a complex and multidimensional symptom. Clinical signs include rapid, shallow breathing; use of accessory muscles of inspiration; and activation of expiratory muscles and are often accompanied by tachycardia, hypertension, and diaphoresis. At the same time, a patient's perceptions of breathing discomfort are at least as important as clinical signs and physician's observations. There is increased emphasis on treating dyspnea, as it is recognized as a significant burden to the patient and related... You do not currently have access to this content.