What are agonal respirations?

One of the Texas Hospice nurses called me to report some unusual breathing patterns during a patient death.  She said that the patient continued to breathe even after the heart ceased beating. 

The medical literature describes several kinds of abnormal breathing patterns:

  1. True agonal respirations occur immediately after a heart attack.  The heart will flutter and cease pumping blood.  For a reason that we don’t understand, the patient will then periodically gasp for air.  This indicates need for immediate CPR.
  2. Cheyne-Stokes respirations occur when a person is near death.  The patient’s breathing rate will be alternately fast and very slow.  The body is dealing with acid-base disturbances.
  3. The last breaths before death, which is what my hospice nurse witnessed, is a little different, I believe, than agonal respirations and Cheyne-Stokes.  It is as if the body is shutting down its functions one-by-one in sequence.  The breathing continues for a few minutes after the heart stops.

“We are fearfully and wonderfully made, ” so says the Psalmist.  The mystery of death and of dying gives us intermittent glimpses into the wonder of human physiology. 

For a great video on the wonder of the Creator, go to http://crazylovebook.com/.  Click “videos” the “the awe factor of God.”

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