Table 2—

Signs and symptoms of respiratory failure

Symptoms
 Increasing generalised weakness
 Dysphagia
 Dysphonia
 Dyspnoea on exertion and at rest
 Fatigue
 Sleepiness
Clinical signs
 Rapid shallow breathing
 Tachycardia
 Weak cough
 Staccato speech
 Accessory muscle use
 Abdominal paradox
 Orthopnoea
 Weakness of trapezius and neck muscles
 Single-breath count
 Cough after swallowing
Laboratory data
 VC ≤15 mL·kg−1, VC ≤1 L or 50% drop from value in stable state, or >20% drop from sitting to supine position
 Maximum inspiratory pressure ≤30 cmH2O
 Maximum expiratory pressure ≤40 cmH2O
 Nocturnal desaturation
Pa,CO2 >45 mmHg (6.7 kPa)
  • VC: vital capacity; Pa,CO2: arterial carbon dioxide tension.