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Biot's respiration

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Biot's respiration, sometimes also called ataxic respiration,[citation needed] is an abnormal pattern of breathing characterized by groups of quick, shallow inspirations followed by regular or irregular periods of apnea.[1]

It generally indicates a poor prognosis.

It is named for Camille Biot, who characterized it in 1876.[2][3]

Causes

Biot's respiration is caused by damage to the medulla oblongata due to strokes or trauma or by pressure on the medulla due to uncal or tentorial herniation.

It can be caused by opioid use.[4]

It is distinguished from ataxic respiration by having more regularity and similar-sized inspirations, whereas ataxic respirations are characterized by completely irregular breaths and pauses. As the breathing pattern deteriorates, it merges with ataxic respirations.

In common medical practice, Biot's respiration is often clinically equivalent to Cheyne-Stokes respiration, although the two definitions are separated in some academic settings.

References

  1. ^ "Biot respiration" at Dorland's Medical Dictionary
  2. ^ Biot MC. Contribution a l’etude du phenomene respiratoire de Cheyne-Stokes. Lyon Med. 1876;23:517-528, 561-567.
  3. ^ Wijdicks EF (2007). "Biot's breathing". J. Neurol. Neurosurg. Psychiatr. 78 (5): 512–3. doi:10.1136/jnnp.2006.104919. PMC 2117832. PMID 17435185. {{cite journal}}: Unknown parameter |month= ignored (help)
  4. ^ Farney RJ, Walker JM, Boyle KM, Cloward TV, Shilling KC (2008). "Adaptive servoventilation (ASV) in patients with sleep disordered breathing associated with chronic opioid medications for non-malignant pain". J Clin Sleep Med. 4 (4): 311–9. PMC 2542501. PMID 18763421. {{cite journal}}: Unknown parameter |month= ignored (help)CS1 maint: multiple names: authors list (link)