Asphyxia

  A. ASPHYXIA

 Asphyxia is the condition characterized by combination of hypoxia and hypercapnea, due to obstruction of air passge.

 • Axphyxia develops in conditions characterized by acute obstruction of air passage such as Strangulation , Hanging , Drowning etc.

 • Effects of asphyxia develops in three stages:-

 a. Stage of Hypernea

 • Hypernea is the first stage of asphyxia .

 • it extends for about 1 minute

 • Breathing becomes deep and rapid due to the prowerful stimulation of respiratory centers by excess of carbon dioxide.

 • Eyes become more prominent .

 • Hyperpnea is followed by dyspnea and cyanosis

 b. Stage of Convulsions

 • Stage of convulsions is characterized mainly by Convulsions (uncontrolled involuntary muscular contractions)

 • Duration of this stage is less than 1 minute.

 c. Stage of Collapse

 • Stage of collapse lasts for about 3 minutes.

 • Severe hypoxia produces the following effects during thia stage:

 i. Depression of centers in brain and disappearance of convulsions .

 ii. Development of repiratory gasping occurs.

 iii. dilation of pupils

 iv. decrease in heart rate

 v. loss of all reflexes.

Duration between the gasps is gradually increased and finally death occurs.

All together , asphyxia extends only for 5 minutes.

The person can survive only by timely help such as relieving the respiratory obstruction , good aeration , etc.

Written by: RB Sah (MBBS)

Reference: K. Sembulimgan Physiology Book; Guyton and Hall Medical physiology 



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