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Complications associated to COPD - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Lung and Chest disorders
Answered by

General & Family Physician
Practicing since : 2009
Answered : 681 Questions
User :   Sir if COPD patient is in sleep with acute breathlessness, how we can save him
Doctor :   Hi
User :   ok
Doctor :   Immediately call the ambulance
Doctor :   till then you should give enough air
Doctor :   You can breathe into his nostril and mouth
User :   last week
User :   my mother and father both were sleeping and father was having COPD
Doctor :   Oxygen should be given to him
Doctor :   ok
User :   he went to sleep at 430 and mom called at 5.15 that he is not moving and no breath
Doctor :   Ok
User :   so we were unable to save him
User :   i like to know how much time was avaiable at that time so that he could have been save
Doctor :   Time is variable from person to person
Doctor :   but all efforts to be taken to save his life
Doctor :   At that point of time, your mother first should call for help at local emergency
Doctor :   and immediately start with the procedure
Doctor :   giving the person an artificial respiration and cardiac massage
Doctor :   The cause of death should be Heart attack
Doctor :   So reviving the heart and breathing is most important
User :   after diagnosis COPD, my dad continued smoking
User :   we all tried but in vain
User :   so what might be the real cause of death
Doctor :   Ok
Doctor :   The immediate of cause of his death would be cardiac arrest
User :   because now a days i m feeling guilty that i could have done something
Doctor :   COPD is an aggravating factor
Doctor :   what was his age?
User :   60
User :   chronic smoker
Doctor :   Was he tested for heart problems earlier to that?
Doctor :   Most smoker have underlying heart problems
User :   COPD
Doctor :   which are undetected
User :   in KEM
User :   not heart probelm
User :   detected
Doctor :   a right heart failure
Doctor :   COPD could lead to a condition called Cor Pulmonale
User :   sir was it in my control to avert his condition
Doctor :   We never know
Doctor :   the most imp and obvious risk factor was Smoking
Doctor :   He could have quit
User :   in cardiac arrest if we could have arrange ambulance in 15 minutes
User :   chances of saving ?
Doctor :   Now the technology is far advanced to save any person
Doctor :   or revive him from death
Doctor :   If the ambulance is on time and the paramedical staff can revive him initially and take him to the hospital
Doctor :   where an immediate management can be undertaken
Doctor :   Each second counts in that scenario
Doctor :   If the person who is with that victim can do initial first aid with chest thumps with wrist and blow air in the mouth and nostrils, that can increase the chances of survival
Doctor :   though not 100%
User :   but atleast 15 minutes were gone since my mom was in sleep
User :   i like to know how much time is available to review patient from death
User :   15 min + 10 min mom took to call me
User :   and if ambulance could have taken another say 15 min
Doctor :   15 minutes is enough to revive
User :   actually 35 minutes have gone
Doctor :   There were reports that a person can be revived after 30 to 40 minutes
User :   so steps were not adequate from our end
User :   sir i m recharging please wait
Doctor :   Brain death and permanent death start to occur in just 4 to 6 minutes after someone experiences cardiac arrest. Cardiac arrest can be reversed if it's treated within a few minutes with an electric shock to the heart to restore a normal heartbeat. This process is called defibrillation. A victim's chances of survival are reduced by 7 to 10 percent with every minute that passes without CPR and defibrillation. Few attempts at resuscitation succeed after 10 minutes.
Doctor :   Sudden or instant death usually happens secondary to heart problems such as heart attacks.
Doctor :   Since you also reported that he was smoking, probably this may have occurred.
Doctor :   Since I do not have the access to his reports, my opinions are all based on previous data.
Doctor :   It seems that you have moved out of the window. Please chat with us if there are any other query.
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