PTA Physical Therapy Assistant

Category - Interventions

Which of the following forms of paradoxical breathing usually does not require mechanical ventilation?
  1. Functioning diaphragm with paralyzed intercostals and abdominals
  2. Paralyzed diaphragm with functional accessory muscle
  3. Both A and B
Explanation
Answer: A - Paradoxical breathing with functioning diaphragm in a paralyzed intercostals and abdominals usually do not require mechanical ventilation.

In a functioning diaphragm with paralyzed intercostals and abdominals form of paradoxical breathing, there will be upper chest collapse and excessive abdominal rising. Since there is a functioning diaphragm the mechanical ventilation is not required.

In a paralyzed diaphragm, the accessory muscle cannot support long-term ventilation. This type of paradoxical breathing needs partial mechanical ventilation.
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