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Biot's respiration, sometimes also called cluster respiration, 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]

Contents

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]

Related patterns

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 (May 2007). "Biot's breathing". J. Neurol. Neurosurg. Psychiatr. 78 (5): 512–3. doi:10.1136/jnnp.2006.104919. PMID 17435185. http://jnnp.bmj.com/cgi/pmidlookup?view=long&pmid=17435185.  
  4. ^ Farney RJ, Walker JM, Boyle KM, Cloward TV, Shilling KC (August 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. PMID 18763421.  

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