4,020 results on '"TACHYPNEA"'
Search Results
2. Akershus Cardiac Examination 4 Study (ACE4)
- Author
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University of Oslo and Magnus Nakrem Lyngbakken, Associate professor
- Published
- 2024
3. Impact Of Maternal Spinal Anesthesia-Induced Hypotension At Scheduled Cesarean Delivery On Risk Development Of Transient Tachypnea Of Newborn And Fetal Acidosis
- Author
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Amany Mohammed El-Rebigi, MD, Lecturer of Pediatric and Neonatology
- Published
- 2024
4. the Inhaled β2-adrenergic Receptor Agonist for Transient Tachypnoea of the Newborn (the REFSAL Trial) (REFSAL)
- Author
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University of Ottawa, Jagiellonian University, Pomeranian Medical University Szczecin, Poznan University of Medical Sciences, Jan Biziel University Hospital No 2 in Bydgoszcz, Neonatology Unit, Specialist Hospital No 2, Bytom, University of Rzeszow, and University in Zielona Góra
- Published
- 2024
5. A Case of Respiratory Distress in a Newborn.
- Author
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Scalone, Eleanor J. and Triplett, Andrea D.
- Subjects
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RESPIRATORY distress syndrome treatment , *CONTINUOUS positive airway pressure , *HYPERBILIRUBINEMIA , *PATENT ductus arteriosus , *EDEMA , *BILIRUBIN , *FETAL macrosomia , *HAIR diseases , *CARDIAC hypertrophy , *OSTEOCHONDRODYSPLASIAS , *RESPIRATORY distress syndrome , *PREGNANCY complications , *TACHYPNEA , *GENOMES , *SEQUENCE analysis , *GENETIC testing , *SYMPTOMS - Abstract
The article describes the case study of a 6-week-old male infant with persistent respiratory distress and head bobbing. Topics include the patient's complex neonatal history; symptoms observed at home, such as tachypnea, retractions, and head bobbing that fluctuated in severity; and diagnostic assessments, including normal chest radiographs, echocardiogram showing minor heart findings, and elevated bilirubin levels without definitive respiratory or cardiac diagnoses.
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- 2024
- Full Text
- View/download PDF
6. Tachypnea in response to hypoxemia decreases with age in older patients.
- Author
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Cuerpo, Sandra, Aguiló, Sira, Alquézar‐Arbé, Aitor, Fernández, Cesáreo, Burillo, Guillermo, Jacob, Javier, Montero‐Pérez, Francisco Javier, García‐Lamberechts, Eric Jorge, Piñera, Pascual, Blázquez, Beatriz Escudero, de la Iglesia, Cristina Güemes, Quesada, Sílvia Flores, Vaswani‐Bulchand, Aarati, Rodríguez‐Cabrera, Montserrat, Aragüés, Paula Lázaro, Díaz‐Guerra, María Luisa Pérez, González, Francesc Xavier Alemany, Alcaraz, Ana Puche, Collado, Jésica Mansilla, and Torres, Gema Jara
- Subjects
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OXYGEN saturation , *PULSE oximetry , *HOSPITAL emergency services , *DESCRIPTIVE statistics , *AGING , *RESPIRATORY measurements , *TACHYPNEA , *HYPOXEMIA , *SENSITIVITY & specificity (Statistics) , *COMORBIDITY , *DISEASE complications , *OLD age - Abstract
Aim: To investigate if tachypneic response to hypoxia is decreased in older patients. Methods: We included all patients ≥65 years of age attending 52 Spanish emergency departments (EDs) for whom peripheral arterial oxygen saturation (SatO2) measured by pulsioxymetry and respiratory rate (RR) were registered at ED arrival. We assessed the relationship between SatO2 and RR in different models, and with the best‐fitting model, we independently analyzed this relationship in four subgroups according to patient age (65–69, 70–79, 80–89, and ≥90 years). Five sensitivity analyses using different subsets of patients were carried out to check for the consistency of the results. Results: We included 7126 patients, with medians for SatO2 and RR of 97% (interquartile range [IQR]: 94–98) and 15 bpm (IQR: 15–16), respectively. We found significant associations (P < 0.001) between SatO2 and RR in every model tested (P < 0.001 for all), with the quadratic model obtaining the best fit (R2: 0.098) over those obtained with linear (R2: 0.096) and logarithmic (R2: 0.092) models. The same was observed in sensitivity analyses, with R2 for quadratic models ranging from 0.069 in patients with low comorbidity and 0.102 in patients breathing room air. The mean RR for 100% SatO2 was 15 bpm and increased as SatO2 decreased, although with a progressive slowing of the slope, with a mean RR of 27 at 50% SatO2. We detected a decreased RR response to increasing hypoxemia according to age and, while the RR curve was higher and with a progressively steepening slope in the 972 patients aged 65–69 (mean RR of 42 bpm with 50% SatO2), a progressive slowing of slope was observed in the 2693 patients aged 70–79 (mean RR of 28 with 50% SatO2), the 2582 aged 80–89 (mean RR of 25) and the 879 aged ≥90 (mean RR of 23). Sensitivity analyses provided very similar results. Conclusion: Tachypneic response to hypoxemia in older patients decreases as age advances, regardless of the reason leading to hypoxemia. Geriatr Gerontol Int 2024; 24: 1120–1129. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
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7. Can I Discharge This Adult Patient with Abnormal Vital Signs From the Emergency Department?
- Author
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Long, Brit, Keim, Samuel M., Gottlieb, Michael, Carlson, Jestin, Bedolla, John, and Reisdorff, Earl J.
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VITAL signs , *HOSPITAL admission & discharge , *HOSPITAL emergency services , *TACHYCARDIA , *MEDICAL personnel - Abstract
Vital signs are an essential component of the emergency department (ED) assessment. Vital sign abnormalities are associated with adverse events in the ED setting and may indicate a risk of poor outcomes after ED discharge. What is the risk of adverse events among adult patients with abnormal vital signs at the time of ED discharge? Studies retrieved included 6 retrospective studies with adult patients discharged from the ED. These studies evaluated adverse outcomes in adult patients discharged from the ED with abnormal vital signs. Hypotension at discharge was associated with the highest odds of adverse events after discharge. Tachycardia was also a key predictor of adverse events after discharge and may be easily missed by ED clinicians. Based on the available evidence, the specific vital sign abnormality and the number of total abnormalities influence the risk of adverse outcomes after discharge. Vital sign abnormalities at the time of discharge also increase the risk of ED revisit. The most common abnormal vital sign at the time of discharge is tachycardia. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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8. КЛИНИЧЕН ПРОФИЛ НА ПАЦИЕНТИТЕ ДО ДВЕ ГОДИШНА ВЪЗРАСТ С ОСТЪР БРОНХИОЛИТ В УМБАЛ БУРГАС.
- Author
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Ангелов, Борис
- Subjects
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RESPIRATORY infections , *DISEASE complications , *VIRUS diseases , *AGE groups , *TACHYPNEA , *SYMPTOMS - Abstract
In the study the clinical profile of 168 children diagnosed with acute bronchiolitis in the First Pediatric Department of UMBAL Burgas AD is analyzed,. The minimum age being 1 month and the maximum age being 24 months. Patients were divided into four age groups. The duration of the infection of the upper respiratory tract before the development of broncho-obstructive syndrome, the days with a clinic of acute viral infection before the appearance of broncho-obstructive syndrome, the presence of a temperature above 38.5, tachypnea, rapid heart activity, dyspnea, cyanosis, as a symptom of decreased oxygenation, etc. Conclusions were made regarding the clinical profile of the patients and the complications of the disease. [ABSTRACT FROM AUTHOR]
- Published
- 2024
9. Clinical respiratory and radiographic abnormalities in dogs with spontaneous hypercortisolism.
- Author
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Mendonça, Diana A., Tavares, Flávia, Pessoa da Veiga, Cristiano C., Knackfuss, Fabiana, and Alberigi, Bruno
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SYMPTOMS ,CUSHING'S syndrome ,CYANOSIS ,TACHYPNEA ,BRONCHI - Abstract
Copyright of Canadian Journal of Veterinary Research / Revue Canadienne de Recherche Vétérinaire is the property of Canadian Veterinary Medical Association and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2024
10. Prehospital Sepsis Recognition and Outcomes for Patients with Sepsis by Race and Ethnicity.
- Author
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MacAllister, Sean A., Fernandez, Antonio R., Smith, Michael J., Myers, J. Brent., and Crowe, Remle P.
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AFRICAN Americans ,LOGISTIC regression analysis ,HISPANIC Americans ,EMERGENCY medical services ,HOSPITAL mortality ,EVALUATION of medical care ,RETROSPECTIVE studies ,MULTIVARIATE analysis ,FEVER ,WHITE people ,DESCRIPTIVE statistics ,ODDS ratio ,SEPTIC shock ,SEPSIS ,TACHYPNEA ,CONFIDENCE intervals ,DATA analysis software ,SOCIAL classes ,PSYCHOSOCIAL factors ,HYPOTENSION ,EVALUATION - Abstract
Background: First medical contact for patients with sepsis often initiates in the prehospital setting, yet limited studies have explored the EMS sepsis recognition-mortality relationship. Racial and ethnic minority patients often have worse sepsis outcomes, yet the role of prehospital recognition in this inequity has not been explored. Our objective was to describe prehospital sepsis recognition and hospital mortality, with analysis by patient race and ethnicity. Methods: Using linked EMS and hospital records from the 2021 ESO Data Collaborative, we retrospectively analyzed 9-1-1 EMS transports for adult patients with emergency department ICD-10 sepsis diagnosis codes. EMS sepsis recognition was defined as a primary or secondary sepsis impression, use of an electronic health record specialty sepsis form, or a prehospital sepsis alert. We used multivariable logistic regression to assess the association between EMS sepsis recognition and hospital mortality, adjusting for age, sex, race and ethnicity, scene socioeconomic status, and documented clinical characteristics: altered mental status, hypotension, tachypnea, tachycardia, fever. We conducted a secondary analysis of patients who were positive for the quick sequential organ failure assessment (qSOFA) using first prehospital vital signs. Results: We analyzed 20,172 records for EMS-transported patients with diagnosed sepsis. Overall, 8% of patients were Black, 8% were Hispanic, and 72% were White. Prehospital sepsis recognition was 18%. Prehospital sepsis recognition was similar across racial and ethnic groups (Black: 17.2%, Hispanic: 17.4%, White: 18.1%) and adjusted odds of sepsis recognition did not differ between racial and ethnic groups. Overall mortality was 11% (2,186). Prehospital sepsis recognition was associated with a 18% reduction in adjusted odds of mortality (OR: 0.82, 95% CI: 0.70-0.94). Of patients who were qSOFA positive in the field (n = 2,168), EMS sepsis recognition was 32% and was similar across race and ethnicities. Adjusted odds of mortality were 0.68 (95% CI: 0.53-0.88) when sepsis was recognized in the prehospital setting. Conclusion: EMS identified sepsis in fewer than one in three patients even after limiting to those positive for qSOFA, without differences by race and ethnicity. EMS sepsis recognition was associated with reduced odds of mortality; however, Black patients remained at greater odds of death suggesting additional factors that warrant investigation. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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11. Pulmonary Function Using Non-invasive Forced Oscillometry (PUFFOR)
- Author
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Colm Travers, Principal Investigator
- Published
- 2024
12. Physiologically Based Cord Clamping To Improve Neonatal Outcomes After Elective Cesarean Delivery (PhyCord1)
- Author
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The Belgian Kids Fund, Fonds IRIS-Recherche, and Ars Statistica
- Published
- 2024
13. Reducing Respiratory Distress After Elective Caesarean Birth Through Knee-chest-flexion: a Randomized Controlled Trial
- Author
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Leiden University Medical Center
- Published
- 2024
14. Assessment of Diastolic Function During the Transitional Period and Infancy Using Serial Echocardiography (DiFuSE)
- Author
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Dr. Gene Dempsey, Horgan Chair in Neonatology, Consultant Neonatologist
- Published
- 2024
15. Undetected Takayasu arteritis presenting as severe hypertension in children: a report of two cases.
- Author
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Wirawan, Muhammad Taufik, Murni, Indah Kartika, Patria, Suryono Yudha, Arafuri, Nadya, Noormanto, and Nugroho, Sasmito
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ANEMIA ,TRANSLUMINAL angioplasty ,VASODILATORS ,HYPERTENSION ,BLOOD vessels ,COMPUTED tomography ,BLOOD sedimentation ,CHEST X rays ,CALCIUM antagonists ,TREATMENT effectiveness ,DISCHARGE planning ,ELECTROCARDIOGRAPHY ,INTRAVENOUS therapy ,ABDOMINAL aorta ,ADRENERGIC beta blockers ,TAKAYASU arteritis ,DELAYED diagnosis ,BLOOD pressure ,TACHYCARDIA ,TACHYPNEA ,METHYLPREDNISOLONE ,ECHOCARDIOGRAPHY ,AORTIC valve insufficiency ,CARVEDILOL ,DISEASE complications - Abstract
Takayasu arteritis (TA) is a rare chronic granulomatous vasculitis mainly affecting the aorta and its main branches. Clinical presentations of TA are non-specific, especially in the initial phase, which likely contributes to delayed diagnosis besides the rarity of the disorder. Childhood-onset of TA is associated with significant morbidity and mortality. This case report aimed to present two rare cases of acute symptomatic severe hypertension in children due to TA. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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16. Safety and Efficacy of 2.5 mg and 1.25 mg Nebulized Salbutamol Compared with Placebo on Transient Tachypnea of the Newborns: A Triple-Blind Phase II/III Parallel Randomized Controlled Trial.
- Author
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Choobdar, Farhad Abolhasan, Vahedi, Zahra, Mazouri, Ali, Torkaman, Mohammad, Khosravi, Nastaran, Khalesi, Nasrin, Soltani, Zahra, Mohazzab, Arash, and Ashkanipour, Rezvan
- Subjects
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MECONIUM aspiration syndrome , *NEONATAL intensive care units , *ALBUTEROL , *PULMONARY hypertension , *BLOOD pressure - Abstract
Background: To evaluate the safety and efficacy of 2.5 and 1.25 mg nebulized salbutamol on Transient Tachypnea of the Newborn (TTN) compared with placebo. Methods: We conducted a triple-blind, phase II/III parallel randomized controlled trial in two university-affiliated hospitals with neonatal intensive care units. Newborns with a confirmed diagnosis of TTN, with gestational age >35 weeks and gestational weight >2 kg were included. Cases of asphyxia, meconium aspiration syndrome, and persistent pulmonary hypertension were excluded. Ninety eligible patients were randomly allocated in three intervention groups (2.5 mg salbutamol, 1.25 mg salbutamol, and placebo), and a single-dose nebulized product was prescribed 6 hours after the birth. Safety outcomes included postintervention tachycardia, hyperglycemia, hypokalemia, and changes in blood pressure. To evaluate the efficacy, the duration of postintervention tachypnea, TTN clinical score, and clinical and paraclinical respiratory indices were assessed. Parents, Outcome assessors, and data analyzer were blind to the intervention. Results: There was no adverse reaction, including tachycardia, hypokalemia, and jitteriness. Both groups of salbutamol recipients showed significant improvement regarding respiratory rate, TTN clinical score, and oxygenation indices compared with the placebo (p-values <0.001). Nonstatistically significant higher hospital stay was observed in the placebo group. Single 2.5 mg salbutamol nebulization showed a little better outcome than the dose of 1.25 mg, although we could not find statistical superiority. Conclusion: The newly applied single high dose of 2.5 mg nebulized salbutamol is safe in treating TTN and leads to notable faster improvement of respiratory status without any considerable adverse reaction. Registry code: IRCT20190328043133N1. [ABSTRACT FROM AUTHOR]
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- 2024
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17. Cryoprobe for Endoscopic Enucleation in Children with Pulmonary Tuberculosis: Effective but Not Without Danger – Case Report and Review of Literature.
- Author
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Goussard, Pierre, Eber, Ernst, Venkatakrishna, Shyam Sunder B., Janson, Jacques, Schubert, Pawel Tomasz, Ebert, Lars, Verster, Janette, Basson, Marthinus, Gie, Andre, and Andronikou, Savvas
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TUBERCULOSIS diagnosis , *LYMPH node surgery , *TUBERCULOSIS treatment , *TREATMENT of respiratory obstructions , *PYRAZINAMIDE , *ETHAMBUTOL , *ANTIRETROVIRAL agents , *ISONIAZID , *GRANULOMA , *HIV-positive persons , *HERNIA , *ENDOSCOPIC surgery , *TREATMENT effectiveness , *HIV infections , *CHEST X rays , *CRYOSURGERY , *COLD therapy , *BRONCHOSCOPY , *COUGH , *TACHYPNEA , *TUBERCULOSIS , *ENDOSCOPY , *RIFAMPIN , *SYMPTOMS , *CHILDREN - Abstract
Introduction: Tuberculosis (TB) in children under 15 years often results in airway compression, with bronchus intermedius (BI) being the most common site. Endoscopic enucleations can be used to remove lymph nodes and establish an airway in severe cases. Both rigid and flexible bronchoscopy are suitable, with alligator forceps being preferred for its ability to extract tissue. Recent studies have also explored cryoprobe enucleation. Case Presentation: An HIV-positive boy with persistent symptoms after 9 months of TB treatment was diagnosed based on his mother's and sister's Xpert MTB/RIF positive status. He was started on 4-drug TB treatment, but the child remained clinically symptomatic with abnormal chest X-ray and unconfirmed TB. Bronchoscopy was performed, revealing complete obstruction of BI due to caseating granulomas causing collapse of the right middle and lower lobes. Cryotherapy was used to recanalize the airway, and follow-up bronchoscopy confirmed patent BI. Conclusion: While cryotherapy was effective in the restoration of airway patency in this case, there is a lack of knowledge about its use in children. [ABSTRACT FROM AUTHOR]
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- 2024
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18. Factors predicting hospitalization of pediatric patients with croup presenting to the emergency department: a retrospective cross-sectional study.
- Author
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Minsol Kim, Meeyong Shin, Yoomin Lee, and Sangsoo Han
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CHILD patients , *LOGISTIC regression analysis , *PEDIATRIC emergency services , *RESPIRATORY insufficiency , *HOSPITAL emergency services - Abstract
Croup is the most common cause of acute, acquired upper airway obstruction in pediatric patients. Severe upper airway obstruction in children can quickly progress to respiratory failure; early and accurate diagnosis and treatment are essential. We examined the characteristics of pediatric patients with croup who visited our emergency department and required hospitalization even after appropriate treatment. We retrospectively studied patients who visited the pediatric emergency department of a tertiary hospital in Gyeonggi-do, Korea, from January 2018 to December 2021. After diagnosis and treatment using a defined protocol, all patients were divided into two groups: those who were hospitalized because they did not meet the criteria for discharge, and those who returned home. A multivariate logistic regression analysis was performed to identify factors associated with hospitalization. We studied 212 patients with an average age of 14 (12-16) months; 68 (32.0%) patients were female and 144 (67.9%) were male. In total, 47 (22.1%) patients were admitted for additional treatment. The multivariate logistic regression analysis revealed that tachycardia, tachypnea, decreased urine output and chest retraction were associated with hospitalization. A nomogram was constructed. Tachycardia, tachypnea, decreased urine volume and chest retraction in pediatric patients with croup showed a relationship with upper airway obstruction that persisted after treatment. If any of the above symptoms are observed in the emergency department, close observation is needed to determine whether respiratory failure is progressing; if so, prompt treatment is required. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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19. Arterial Blood Gas Parameters to Evaluate Oxygenation and Acid-Base Disorders in Corticosteroid-Receiving Severe and Critical COVID-19 Patients.
- Author
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Temenggung, Bintang, Setiawan, Herley Windo, Rochmanti, Maftuchah, and Rosyid, Alfian Nur
- Subjects
MORTALITY prevention ,MORTALITY risk factors ,BLOOD gases analysis ,ADRENOCORTICAL hormones ,PULMONARY function tests ,PNEUMONIA ,RISK assessment ,ACID-base imbalances ,ACADEMIC medical centers ,EXTRACORPOREAL membrane oxygenation ,IMMUNOSUPPRESSIVE agents ,ADULT respiratory distress syndrome ,T-test (Statistics) ,COVID-19 testing ,POLYMERASE chain reaction ,CATASTROPHIC illness ,SEVERITY of illness index ,TREATMENT effectiveness ,HYDROCORTISONE ,FEVER ,HIV infections ,DESCRIPTIVE statistics ,MANN Whitney U Test ,CHI-squared test ,IMMUNE system ,DISEASE prevalence ,REACTIVE oxygen species ,OXYGEN in the body ,CASE-control method ,INTENSIVE care units ,LENGTH of stay in hospitals ,METHYLPREDNISOLONE ,COUGH ,DYSPNEA ,TACHYPNEA ,COMPARATIVE studies ,DATA analysis software ,COVID-19 ,CRITICAL care medicine ,DEXAMETHASONE ,AIDS ,HYPOXEMIA ,DISEASE complications ,SYMPTOMS - Published
- 2024
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20. Clinical Characteristics and Outcomes of Dilated Cardiomyopathy in Chinese Children: A Single-Center Retrospective Study.
- Author
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Chen, Cheng, Huang, Yanyun, Su, Danyan, Qin, Suyuan, Ye, Bingbing, Huang, Yuqin, Liu, Dongli, and Pang, Yusheng
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RISK assessment ,CARDIOMYOPATHIES ,VENTRICULAR ejection fraction ,T-test (Statistics) ,RECEIVER operating characteristic curves ,STATISTICAL significance ,RESEARCH funding ,FISHER exact test ,MULTIPLE regression analysis ,SYMPTOMS ,EVALUATION of medical care ,TERTIARY care ,RETROSPECTIVE studies ,CHI-squared test ,MANN Whitney U Test ,MULTIVARIATE analysis ,DESCRIPTIVE statistics ,CALCIUM ,KAPLAN-Meier estimator ,LOG-rank test ,MEDICAL records ,ACQUISITION of data ,STATISTICS ,DENTAL laboratories ,TACHYPNEA ,CONFIDENCE intervals ,DATA analysis software ,PROPORTIONAL hazards models ,ECHOCARDIOGRAPHY ,CHILDREN - Abstract
Background: The reported outcomes of pediatric dilated cardiomyopathy (DCM) have varied across studies. There are few outcome data concerning DCM in Chinese children. Therefore, we conducted a retrospective study to describe clinical features and determine risk factors for poor outcomes in children with DCM. Methods: We enrolled 121 children with DCM in our hospital from 2003 to 2021. General information and laboratory and echocardiographic data were collected and analyzed. Cox regression analysis was performed to determine risk factors for poor outcomes. Results: This study included 121 patients (69 males and 52 females). The median age at diagnosis was 10.8 years, and the follow-up time was 10.0 months. Eighty-two patients (67.8%) exhibited cardiac function classes III–IV at the time of diagnosis. Tachypnea was the most common symptom (78.5%). In echocardiography, the mean left ventricular end-diastolic dimension z score was 7.36 ± 2.73, and the left ventricular ejection fraction z score was −6.58 ± 2.17. The 1-, 2-, and 5-year survival rates were 51.2%, 43.8%, and 32.2%, respectively. Cox analysis revealed that cardiac function classes III–IV (hazard ratio [HR] = 1.801, 95% confidence interval [95% CI] = 1.030–3.149, p = 0.039) and calcium levels (HR = 0.219, 95% CI = 0.084–0.576, p = 0.002) were predictors of poor outcomes in children with DCM. Conclusions: Children with DCM are at high risk of death. Cardiac function class III–IV and calcium levels were related to the prognosis of pediatric DCM patients. [ABSTRACT FROM AUTHOR]
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- 2024
- Full Text
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21. Anomalous left coronary artery origin from the nonfacing sinus of pulmonary artery – Successful repair of a rare entity.
- Author
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George, Anciline, Pavithran, Sreeja, Sivakumar, Kothandam, and Agarwal, Ravi
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CORONARY artery surgery , *CONGENITAL heart disease diagnosis , *RESPIRATORY organ sounds , *CONGENITAL heart disease , *MYOCARDIAL ischemia , *RARE diseases , *HEART failure , *CORONARY arteries , *LACTATION , *SINUS of valsalva , *EARLY diagnosis , *PLASTIC surgery , *TACHYPNEA , *POSTOPERATIVE period , *CORONARY artery disease , *BLAND-White-Garland syndrome , *VENTRICULAR septum , *CARDIAC surgery , *DISEASE complications - Abstract
Anomalous left coronary artery from the pulmonary artery (ALCAPA) is a rare congenital heart disease, presenting either in isolation or with other cardiac anomalies. The most common presentation is congestive heart failure in infancy, though some may remain asymptomatic till adulthood. A 5-month-old infant with congestive heart failure was diagnosed to have ALCAPA with severe Left ventricular (LV) dysfunction. Unlike the more common variants where the left coronary artery (LCA) arose from the facing sinuses, the LCA arose from the left anterior nonfacing sinus of the pulmonary artery at a considerable distance from the left aortic sinus. This made direct reimplantation of LCA to the aorta challenging. LCA was reimplanted to the aorta using an extrapulmonary baffle made of an autologous pulmonary flap. The postoperative period was uneventful. The LV contractility improved during the follow-up. Early diagnosis and intervention with a novel surgical technique prevented irreversible cardiac complications and mortality. [ABSTRACT FROM AUTHOR]
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- 2024
- Full Text
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22. H1N1pdm09 infection in children: a case report of reemerging disease in COVID-19 pandemic.
- Author
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Puspaningtyas, Niken Wahyu, Nagrani, Dimple Gobind, Karyanti, Mulya Rahma, Fauzie, Rifan, Imanadhia, Ashfahani, and Sa, Raisa Cecilia
- Subjects
H1N1 influenza ,OXYGEN therapy ,TREATMENT effectiveness ,FEVER ,REVERSE transcriptase polymerase chain reaction ,ADRENERGIC beta blockers ,OSELTAMIVIR ,TACHYPNEA ,DYSPNEA ,COUGH ,COVID-19 pandemic ,ADOLESCENCE - Abstract
An outbreak of H1N1 infection was first declared by the World Health Organization in 2009 and confirmed in the post-pandemic phase in 2010. Amid the COVID-19 pandemic, we found a confirmed case of H1N1pdm09 in Bunda Women and Children Hospital Jakarta. A 13-year-old boy was referred to our hospital after four days of hospitalization due to worsening tachypnea following a productive cough and fever. The patient had severe dyspnea with inspiratory effort and oxygen desaturation to 80%, therefore admitted to our pediatric intensive care unit. On physical examination, the patient had increased work of breathing, looked irritable, had a respiratory rate of about 40x/minute with non-rebreathing mask support, and crackles were heard in both lungs. Chest X-ray showed right bronchopneumonia. There was a history of a generalized seizure for less than 1 minute, which stopped spontaneously in previous hospital care. The patient was diagnosed with mucopolysaccharidosis at age six years old and has never received enzyme replacement therapy. Laboratory results revealed thrombocytopenia, leukopenia, neutrophilia, monocytosis, high c-reactive protein and procalcitonin, and elevated liver enzymes. The investigation of etiology was performed using the respiratory panel test and showed a positive real-time polymerase chain reaction for H1N1pdm09 and Influenza A. The patient was given oxygen therapy with a high-flow nasal cannula with an oxygen fraction of 40% and a flow of 20 liters per minute, fluid maintenance while fasting, antibiotics, inhaled b-2 agonists, and a neuraminidase inhibitor (oseltamivir). The patient's clinical and laboratory markers improved on the third day of treatment, and he was discharged two days later. [ABSTRACT FROM AUTHOR]
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- 2024
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23. Rhizobium radiobacter infection in a preterm infant and review of the literature.
- Author
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İyigün, Fatma, Közler, Selen Hürmüzlü, Kılıç, Ümit, and Yüksek, Saliha Kanık
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ANTIBIOTICS ,CESAREAN section ,OXYGEN saturation ,PENICILLIN G ,RISK assessment ,NEONATAL intensive care units ,NEONATAL intensive care ,FOREIGN bodies ,CEFOTAXIME ,APGAR score ,CATHETERS ,GENTAMICIN ,AMIKACIN ,ARTIFICIAL respiration ,GRAM-negative bacterial diseases ,RESPIRATORY distress syndrome ,TACHYPNEA ,NEONATAL sepsis ,INTERMITTENT positive pressure breathing ,IMMUNOSUPPRESSION ,SYMPTOMS ,CHILDREN - Abstract
Copyright of Ümraniye Pediatri Dergisi is the property of KARE Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2024
- Full Text
- View/download PDF
24. nHFOV Versus nCPAP in Transient Tachypnea of the Newborn
- Author
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Mehmet Cizmeci, Associate Professor of Pediatrics
- Published
- 2023
25. Pneumonia
- Author
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Chang, Y. Katharine, Mikesell, Christine, Liao, Nancy, editor, Mahan, John, editor, Misra, Sanghamitra, editor, Scherzer, Rebecca, editor, and Schiller, Jocelyn, editor
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- 2024
- Full Text
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26. Oculosystemic pneumocystosis in 2 sibling Chihuahuas
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Johnson, Lynelle R, Hulsebosch, Sean E, Viall, Austin K, Danesi, Patrizia, Woolard, Kevin D, Cook, Sarah E, Maggs, David J, and Leonard, Brian C
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Infectious Diseases ,Lung ,Digestive Diseases ,Liver Disease ,Prevention ,Good Health and Well Being ,Male ,Female ,Dogs ,Animals ,Humans ,Pneumonia ,Pneumocystis ,Siblings ,Prednisone ,Anti-Infective Agents ,Tachypnea ,Dog Diseases ,fundic examination ,infectious disease ,ophthalmology ,Veterinary Sciences - Abstract
Sibling female and male Chihuahuas were evaluated for a 9-month history of tachypnea that failed to respond to fenbendazole, doxycycline, amoxicillin-clavulanate, and prednisone. Physical examination identified tachypnea, hyperpnea, and harsh bronchovesicular lung sounds. Fundic examination disclosed diffuse chorioretinitis, manifested as multifocal chorioretinal granulomas in the female dog and occasional chorioretinal scars in the male dog. Thoracic radiographs indicated moderate to severe interstitial to broncho-interstitial infiltrates in both dogs. Serum and urine antigen and antibody testing in the female dog failed to identify infectious agents, but cytologic assessment of hepatic lymph node, liver, and splenic aspirates identified Pneumocystis trophozoites. Infection was confirmed in both dogs by 28S rRNA PCR sequencing from multiple tissue samples. The female dog responded well to trimethoprim-sulfamethoxazole, but the male dog was euthanized because of liver failure, presumably related to antimicrobial treatment.
- Published
- 2023
27. QUIZ. Congenital Birth Defects.
- Author
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Oswald, Ron
- Subjects
TREATMENT of dyspnea ,CONGENITAL heart disease ,VITAL signs ,OXYGEN therapy ,EMERGENCY medical services ,RESPIRATORY syncytial virus infections ,PEDIATRICS ,NEBULIZERS & vaporizers ,BLOOD circulation ,TACHYPNEA ,BRONCHODILATOR agents ,TRANSPORTATION of patients ,CHILDREN - Abstract
The article discusses the transport of a fourteen-month-old with a vascular ring congenital defect and RSV, focusing on treatment challenges like oxygen therapy causing agitation.
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- 2024
28. Thoracic fluid content (TFC) using electrical cardiometry versus lung ultrasound in the diagnosis of transient tachypnea of newborn.
- Author
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EL-Fattah, Nagwa Mohamed Abd, EL-Mahdy, Heba Saied, Hamisa, Manal Fathy, and Ibrahim, Ashraf Mohamed
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- *
LUNGS , *NEWBORN infants , *TACHYPNEA , *ULTRASONIC imaging , *OXYGEN therapy - Abstract
This study aimed to evaluate TFC by EC versus lung ultrasound (LUS) findings for diagnosing and follow-up of TTN in late preterm and term neonates. This prospective observational study was conducted on 80 neonates with gestational age ≥ 34 weeks. TTN group included 40 neonates diagnosed with TTN, and no lung disease (NLD) group included 40 neonates without respiratory distress. LUS and EC were performed within the first 24 h of life and repeated after 72 h. There was a statistically significant increase in TFC in TTN group on D1 [48.48 ± 4.86 (1 KOhm−1)] compared to NLD group [32.95 ± 4.59 (1 KOhm−1)], and then significant decrease in TFC in D3 [34.90 ± 4.42 (1 KOhm−1)] compared to D1 in the TTN group. There was a significant positive correlation between both TFC and LUS with Downes' score, TTN score, and duration of oxygen therapy in the TTN group. Conclusion: Both LUS and TFC by EC provide good bedside tools that could help to diagnose and monitor TTN. TFC showed a good correlation with LUS score and degree of respiratory distress. What is Known: • Transient tachypnea of the newborn (TTN) is the most common cause of respiratory distress in newborns. • TTN is a diagnosis of exclusion, there are no specific clinical parameters or biomarker has been identified for TTN. What is New: • Thoracic fluid content (TFC) by electrical cardiometry is a new parameter to evaluate lung fluid volume and could help to diagnose and monitor TTN and correlates with lung ultrasound score. [ABSTRACT FROM AUTHOR]
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- 2024
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- View/download PDF
29. Diagnosis of Diffuse Pulmonary Hemorrhage by Ultrasonography: A Case Report.
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Kozacı, Nalan, Aydın, İsmail Erkan, Erşahin, Tuğçe, and Taşkıran, Büşra
- Subjects
- *
GINGIVAL hemorrhage , *DYSPNEA , *TACHYPNEA , *HOSPITAL emergency services , *HEMORRHAGE - Abstract
A 72-year-old male patient was admitted to the emergency department with a complaint of a rash covering his entire body and shortness of breath. Aside from the petechial rash covering his body, the patient was also found to have bleeding in the mouth and gums, and tachypnea. A bedside point-of-care ultrasound (POCUS) revealed multiple and confluent B lines, a pleural line abnormality, the disappearance of A-lines, a subpleural hypoechoic area, hepatization, shred sign and pleural effusion, predominantly in the 3rd, 4th and 5th zones of the right lung and the 3rd and 4th zones of the left lung. A stratosphere sign was detected in M Mode. The patient was diagnosed with diffuse pulmonary hemorrhage with POCUS and clinical findings. [ABSTRACT FROM AUTHOR]
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- 2024
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30. Clinical Profile of Patients with Hypertensive Crisis Presenting to an Emergency Department of a Tertiary Care Hospital in Western India.
- Author
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Goswami, Brijesh and Nanda, Vivek
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RISK assessment ,VITAL signs ,HYPERTENSIVE crisis ,PATIENTS ,CHEST pain ,HYPERTENSION ,HEADACHE ,PULMONARY edema ,EMERGENCY medical services ,HOSPITAL emergency services ,TERTIARY care ,RETROSPECTIVE studies ,HOSPITAL mortality ,DESCRIPTIVE statistics ,HEART failure ,TACHYPNEA ,NOSEBLEED ,DISEASE risk factors - Abstract
Objectives: A hospital-based retrospective study was undertaken among the adult patients presenting to document the incidence of hypertensive urgency (HTN-U) and emergency while the secondary objectives included clinical presentations, disposition from emergency room, and inhospital mortality. Materials and Methods: All patients were evaluated by vital signs, clinical examination as well as relevant laboratory tests and radiological tests. Patients with target organ damage were grouped under the hypertensive emergency (HTN-E) group (n = 104) and patients without target organ damage were included under the HTN-U group (n = 52). The data were analyzed using GraphPad Prism (vs. 9.4.1) and MedCalc (vs. 20.118). Results: The incidence of HTN-E and HTN-U was 68.4% and 31.6%, respectively. The most common symptom observed in patients with HTN-E was breathlessness (53.8%), followed by chest pain (34.6%) and headache (27.9%). While, in HTN-U patients, most patients reported chest pain (43.8%), headache (39.6%), and epistaxis (22.9%). Majority of the patients in both the groups presented with signs of tachycardia, tachypnea, and hypoxia. The mortality in HTN-E and HTN-U patients was 15.4% and 2.1%, respectively. Among 104 patients with HTN-E, 53.8% each of the patients had acute heart failure and acute pulmonary edema. While, in HTN-U patients, acute pulmonary edema and acute coronary syndrome were observed in 2.1% each of the study subjects. Conclusion: Patients at high risk or end-organ damage should be immediately referred to the emergency department from the outpatient settings, as a rapid reduction in blood pressure is essential over minutes to hours, to prevent further organ damage. [ABSTRACT FROM AUTHOR]
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- 2024
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31. Risk of Transient Tachypnea of the Newborn following Elective Cesarean Section Increases at a Gestational Age of 37 Weeks Compared to That at = 38 Weeks Despite the Exclusion of Pre-Existing Risk Factors for Neonatal Respiratory Disorders.
- Author
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Yoichi Mino, Fumiko Miyahara, Mazumi Miura, Aya Imamoto, Hiromi Fujii, Chisaki Moriwaki, Kazuki Yoshioka, and Noriyuki Namba
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TACHYPNEA ,CESAREAN section ,RESPIRATORY disease risk factors ,GESTATIONAL age ,BIRTH weight - Abstract
Background: Elective cesarean sections (ECSs) for early-term pregnancies at 37 weeks of gestational age (GA) aim to reduce the risk of emergency cesarean sections due to the onset of labor or rupture of membranes. However, resultant increases in neonatal respiratory disorders, including transient tachypnea of the newborn (TTN) have been observed. However, few studies have elucidated the associated risk factors. Consequently, we aimed to determine whether differences existed in the clinical outcomes between neonates delivered via ECS at 37 weeks and those delivered at ≥ 38 weeks of GA. Methods: A retrospective analysis was conducted on 259 neonates born via ECS at Tottori University Hospital, between January 2013 and December 2019, with birthweights ≥ 2500 g and GAs > 37 weeks. The neonates were categorized into two cohorts: births at 37 and at ≥ 38 weeks of GA (37-week and 38-week cohorts). The principal clinical outcomes included the appearance, pulse, grimace, activity, and respiration (Apgar) scores, need for positive-pressure ventilation, incidence of TTN, and length of hospital stay. Results: No statistically significant differences were observed in the indications for ECS, sex, or birthweight between the two cohorts. The 37-week cohort exhibited a lower 1-min Apgar score than did the 38-week cohort, with no statistically significant differences between the two cohorts, at 5 min. Statistically significant differences were not observed in the need for positivepressure ventilation during initial resuscitation or length of hospital stay for patients with TTN between the two cohorts. Notably, the 37-week cohort exhibited a significantly higher incidence of TTN than did the 38-week cohort. Conclusion: ECSs at 37 weeks of GA exhibited an increased risk of TTN than ECSs at = 38 weeks of GA. Strategic neonatal care and adequate preparation can mitigate this risk without affecting the length of hospital stay. [ABSTRACT FROM AUTHOR]
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- 2024
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32. Work of Breathing: Physiology, Measurement, and Diagnostic Value in Childhood Pneumonia.
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Amirav, Israel, Manucot, Aleeza, Crawley, Jane, and Levi, Sapir
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LUNG physiology ,RESPIRATORY muscle physiology ,PNEUMONIA diagnosis ,DECISION support systems ,ADULT respiratory distress syndrome ,RESPIRATION ,OXYGEN therapy ,ARTIFICIAL intelligence ,DECISION making in clinical medicine ,TACHYPNEA ,DISEASE risk factors ,CHILDREN - Abstract
In clinical practice, increased "work of breathing" (WOB) is used to rapidly identify the acutely ill child in need of immediate clinical care, and is commonly used to support a clinical diagnosis of pneumonia. However, this key clinical sign is poorly understood and inconsistently defined. This review discusses the physiology, measurement, and clinical assessment of WOB, highlighting its utility in the recognition of pneumonia in under-resourced settings, where access to diagnostic imaging may be limited. [ABSTRACT FROM AUTHOR]
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- 2024
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33. Clinical Characteristics of the Patients with Corona Virus Disease 2019 in Sylhet District of Bangladesh.
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Begum, Momtaz, Deb, Bidith Ranjan, Das, Shantanu, Chowdhury, Fahmida, Ahmed, Shabbbir, Hamid, Nasser, and Moureen, Adneen
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CROSS-sectional method ,OXYGEN saturation ,CREATININE ,QUESTIONNAIRES ,SYMPTOMS ,SEVERITY of illness index ,JUDGMENT sampling ,DESCRIPTIVE statistics ,REVERSE transcriptase polymerase chain reaction ,FEVER ,BLOOD cell count ,BLOOD sugar ,ELECTROCARDIOGRAPHY ,COUGH ,DYSPNEA ,TACHYPNEA ,DATA analysis software ,COVID-19 ,C-reactive protein ,COMORBIDITY - Abstract
Background: Bangladesh has suffered a lot corona virus disease 2019 (COVID 19), but clinical data on COVID 19 is fewer still. Objective: The purpose of the present study was to determine the patterns of clinical characteristics of confirmed COVID 19 patients in Sylhet to contribute as information resource of our country. Methodology: This cross sectional study was conducted in the inpatient Department of Medicine of Jalalabad Ragib-Rabeya Medical College Hospital, Sylhet, Bangladesh to evaluate the clinical characteristics among the COVID 19 patients from July 2020 to December 2020 by purposive sampling technique. For the purpose a total 75 RT PCR positive COVID 19 patients were included in the study and data were collected with a semi-structured questionnaire. Results: The results showed that,85.3%% patients presented with fever, 46.7% with cough and 38.7.0% with dyspnoea. On examination 85.3% had fever, 38.7% had tacypnea, 38.7% had low SpO2 at room temperature, 57.3% had vesicular breath sound. Lab investigations (biochemical) mostly needed at admission for management of the patients were complete blood count (CBC) in 93.3% case, c reactive protein (CRP) in 76.0% case, Ddimer in 68.0% case, random blood sugar (RBS) in 56.0% case, serum creatinine in 54.7%, serum ferritin in 42.7%, serum electrolytes in 42.7%, electro cardiogram (ECG) in 38.7%. According to clinical classification for case management of COVID 19 58.7%, 21.3%, 16%, 2.7%, 1.3% were successively diagnosed as mild, moderate, severe, asymptomatic and critical COVID 19 infection. Among the study population 80.0% patient was in need of antibiotic, 60.0% anti coagulant, 48.0% steroid, 38.7% oxygen, 2.7% antiviral drugs, 1.3% mechanical ventilation during their treatment. Conclusion: The results obtained from this study could urge more study on it to provide updated knowledge as well as find potential treatment strategies for this pandemic disease. [ABSTRACT FROM AUTHOR]
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- 2024
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34. Spectrum of respiratory distress and outcome in neonates admitted in National Institute of Child Health, Karachi, Pakistan.
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Rajput, Lachhman Singh and Khan, Mashal
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- *
NEONATAL intensive care units , *RESPIRATORY distress syndrome , *NEWBORN infants , *ARTIFICIAL respiration , *SYMPTOMS , *MECONIUM aspiration syndrome - Abstract
Objective: To find out the spectrum of respiratory distress and outcome in neonates admitted to Neonatal Intensive care unit (NICU) of National Institute of Child Health (NICH), Karachi, Pakistan. Study Design: Cross-sectional study. Setting: NICU of NICH, Karachi, Pakistan. Period: June 2022 to May 2023. Methods: We analyzed 148 neonates of either gender presenting with respiratory distress. At the time of enrollment, demographic and clinical information was noted in all neonates along with detailed maternal history. Relevant laboratory and radiological studies were performed. Final outcomes were recorded in terms of discharged, expired or referred. Results: In a total of 148 neonates, 96 (64.9%) were boys. The mean age was 4.04±5.65 days. Tachypnea, nasal flaring, intercostal recession, subcostal recession, grunting, and cyanosis 148 (100%), 146 (98.6%), 138 (93.2%), 133 (89.9%), 97 (65.5%), and 83 (56.1%) were the most frequent clinical presentations among neonates with respiratory distress. The most frequent causes behind respiratory distress were noted to be respiratory distress syndrome, sepsis, and meconium staining of labour in 31 (20.9%), 25 (16.9%), and 24 (16.2%) neonates. Mortality was observed in 21 (14.2%) neonates. Significant association of neonates presenting with congenital pneumonia (p=0.048), or congenital anomalies (p<0.001) were found to with poor outcomes. Mechanical ventilation was found to have significant relationship with poor outcomes (p<0.001). Conclusion: Tachypnea, Nasal flaring, intercostal and subcostal recessions, grunting, and cyanosis were the primary clinical presentations among the neonates with respiratory distress. Congenital pneumonia, and congenital anomalies emerged as key predictors of poor outcomes. [ABSTRACT FROM AUTHOR]
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- 2024
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35. A Forgotten Disease in Children: Lemierre Syndrome.
- Author
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Ersöz, Zekiye Aybüke Şen, Tekerek, Nazan Ülgen, Köker, Alper, Dursun, Oğuz, Kara, Tuğçe Tural, and Erkek, Nilgün
- Subjects
LEMIERRE syndrome ,BRACHIOCEPHALIC veins ,TRACHEOTOMY ,THORACOSTOMY ,PLEURAL effusions ,PERICARDIAL effusion ,ANTIBIOTICS ,LEUKOCYTE count ,INTRAVENOUS immunoglobulins ,NONSTEROIDAL anti-inflammatory agents ,GLYCOSYLATED hemoglobin ,PLATELET count ,OROPHARYNX ,FATIGUE (Physiology) ,EDEMA ,COMPUTED tomography ,RESPIRATORY insufficiency ,CATASTROPHIC illness ,COLCHICINE ,CASPOFUNGIN ,PEDIATRICS ,VANCOMYCIN ,EMBOLISMS ,INTENSIVE care units ,METRONIDAZOLE ,NORADRENALINE ,SEPSIS ,DYSPNEA ,TACHYPNEA ,C-reactive protein ,MEROPENEM ,SYMPTOMS ,CHILDREN - Abstract
Copyright of Journal of Pediatric Emergency & Intensive Care Medicine / Çocuk Acil ve Voğun Bakım Dergisi is the property of Galenos Yayinevi Tic. LTD. STI and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2024
- Full Text
- View/download PDF
36. A Prospective Cross-Sectional Study on the Vitamin D Status of Neonates and the Impact of Neonates' Standard Vitamin D Supplementation on Neonatal Morbidities.
- Author
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Yangin Ergon, Ezgi, Dorum, Bayram Ali, Balki, Hanife Gul, Bako, Derya, and Alkan Ozdemir, Senem
- Subjects
THERAPEUTIC use of vitamin D ,BREASTFEEDING ,VITAMIN D deficiency ,CROSS-sectional method ,PEARSON correlation (Statistics) ,ACADEMIC medical centers ,DATA analysis ,PROBABILITY theory ,QUESTIONNAIRES ,TREATMENT effectiveness ,BREAST milk ,DESCRIPTIVE statistics ,CHI-squared test ,DISEASES ,LONGITUDINAL method ,ONE-way analysis of variance ,STATISTICS ,RESPIRATORY distress syndrome ,TACHYPNEA ,DATA analysis software ,ANTHROPOMETRY ,VITAMIN D ,DIETARY supplements ,NEONATAL sepsis ,NONPARAMETRIC statistics ,CHILDREN - Abstract
(1) Background: This study aimed to determine whether standard-dose vitamin D supplementation could provide adequate levels in exclusively breastfed infants born with different cord 25(OH)D levels and to evaluate related neonatal morbidities. (2) Methods: A prospective cross-sectional study was designed in term infants. Three groups were formed based on cord 25(OH)D levels; Group1 Deficiency:25(OH)D < 12 ng/mL, Group2 Insufficiency:25(OH)D = 12–19 ng/mL, and Group3 Optimum:25(OH)D = 20–100 ng/mL. Cord and 1st month 25(OH)D levels, after receiving standard-dose vitamin D prophylaxis, neonatal outcomes and anthropometric measurements were compared. (3) Results: The study involved 86 infants. Group1 Deficiency had also significantly lower 25(OH)D levels at 1st month compared to the others (p < 0.001). There was a significant positive correlation between cord and 1st month 25(OH)D levels (r = 0.78, p < 0.001). Despite the fact that the mother's age and clothing style were similar, Group1 Deficiency mothers had higher parity numbers and used less vitamin D during pregnancy (p = 0.03, p = 0.04). Neonatal outcomes analysis revealed that newborns in Group1 Deficiency experienced more respiratory distress, transient tachypnea, and early-onset sepsis, as well as more and longer hospital stays in the first-month of life (p < 0.05). (4) Conclusions: Infants with low cord 25(OH)D levels had also lower 25(OH)D values in the 1st month of life and experienced higher rates of neonatal morbidities. Given its numerous biological activities and impact on neonatal morbidities, determining an individualized dose of vitamin D supplementation may be more accurate than using the standard approach. [ABSTRACT FROM AUTHOR]
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- 2024
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37. PERFIL EPIDEMIOLÓGICO Y MANEJO INTENSIVO INICIAL DEL PACIENTE CRÍTICO CON COVID-19 EN UCI DEL HOSPITAL HEYSEN INCHAUSTEGUI – 2022.
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De la Cruz Martínez, Ana Karina
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PUBLIC hospitals ,CROSS-sectional method ,MEDICAL history taking ,SOCIOECONOMIC factors ,HYPERTENSION ,LYMPHOPENIA ,QUANTITATIVE research ,RETROSPECTIVE studies ,FIBRIN fibrinogen degradation products ,INTENSIVE care units ,RESEARCH methodology ,ELECTRONIC health records ,FIBRINOGEN ,DYSPNEA ,TACHYPNEA ,CRITICALLY ill patient psychology ,COVID-19 ,OBESITY ,DIABETES ,C-reactive protein - Abstract
Copyright of Revista Científica de Enfermería (2071-5080) is the property of Colegio de Enfermeros del Peru and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2024
38. A new hematological parameter model for the diagnosis and prognosis of sepsis in emergency department: A single‐center retrospective study.
- Author
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Zheng, Xiaohe, Zhao, Yating, Wang, Dong, Pan, Shiyao, Yushuaima, Huang, Zena, Ye, Manman, and Zhang, Shihong
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- *
PREDICTIVE tests , *RESPIRATORY organ sounds , *URINARY tract infections , *RISK assessment , *MYCOSES , *MONOCYTES , *RECEIVER operating characteristic curves , *ACADEMIC medical centers , *T-test (Statistics) , *DATA analysis , *RESPIRATORY infections , *GRAM-positive bacterial infections , *CORONARY disease , *RESEARCH funding , *NEUTROPHILS , *LOGISTIC regression analysis , *FISHER exact test , *HYPERTENSION , *SMOKING , *HOSPITAL emergency services , *RETROSPECTIVE studies , *CALCITONIN , *DESCRIPTIVE statistics , *MANN Whitney U Test , *CHI-squared test , *HEART failure , *HEMATOLOGY , *BODY temperature , *HEART beat , *ODDS ratio , *CHRONIC kidney failure , *SEPSIS , *STATISTICS , *MEDICAL records , *ACQUISITION of data , *EARLY diagnosis , *ANALYTICAL chemistry techniques , *DATA analysis software , *TACHYPNEA , *GRAM-negative bacterial diseases , *CONFIDENCE intervals , *TUMORS , *BIOMARKERS , *SENSITIVITY & specificity (Statistics) , *C-reactive protein , *DISEASE incidence , *PROPORTIONAL hazards models , *DIABETES , *EVALUATION , *DISEASE risk factors - Abstract
Introduction: Sepsis, a syndrome of organ dysfunction caused by an unregulated host response to infection. This study aimed to develop a novel sepsis diagnostic model of hematological parameters and evaluate its effectiveness in the early identification and prognosis of sepsis in emergency departments. Methods: A retrospective study was conducted in Emergency Department. Cell population data parameters related to monocytes and neutrophils were obtained using the Mindary BC‐6800 plus hematology analyzer. Receiver operating characteristic (ROC) curve analysis, logistic regression analysis was performed to assess the performance of the parameters and establish a diagnostic and prognostic model of sepsis, which was then verified with a validation cohort. Results: Mon_XW exhibited the best diagnostic performance (area under the ROC curve [AUC] = 0.848, 95% confidence interval [CI]: 0.810–0.885, p < 0.001), followed by Neu_Y and Neu_YW (AUC = 0.777 95% CI: 0.730–0.824, p < 0.001). Logistic regression analysis identified Mon_XW and Neu_Y as independent predictors, which were used to establish a diagnostic model named hematological parameter for sepsis (HPS). HPS demonstrated the best diagnostic performance with an AUC of 0.862 (95% CI: 0.826–0.898, p < 0.001), sensitivity of 70.0%, and specificity of 87.1%, compared to C‐reactive protein (CRP) and procalcitonin (PCT). The validation cohort also found that the positive predictive value of HPS was 70.4% and the negative predictive value was 92.2%. Conclusion: The developed HPS model showed promising diagnostic efficacy for sepsis in the emergency department, which outperformed CRP and PCT in terms of sensitivity and specificity. By enabling early identification and prognosis of sepsis, that contributes to reducing sepsis‐related mortality. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
39. Mucormycosis‑Associated Colon Perforation in the Early Postrenal Transplant Period.
- Author
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Sivagnanam, Harish, Senthil Kumar, P. K., Velu, Kannan Bhaba, and Viswanathan, Ramasubramanian
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STEROID drugs ,MYCOSES ,KIDNEY transplantation ,BIOPSY ,INTESTINAL perforation ,CREATININE ,KIDNEY tubules ,DRUG side effects ,MYCOPHENOLIC acid ,NEPHROTOXICOLOGY ,DRUG therapy ,ABDOMINAL pain ,COMPUTED tomography ,ABDOMINAL surgery ,PNEUMOPERITONEUM ,GRAFT rejection ,TACROLIMUS ,POSTOPERATIVE period ,BLOOD pressure ,TACHYPNEA ,INFLAMMATION ,COLECTOMY ,CELLS ,THERAPEUTICS - Abstract
The incidence of colon perforation in the posttransplant period is 1.3% based on various single‑center studies. We report the case of a 32‑year‑old male, a known case of chronic kidney disease and end‑stage renal disease who received a live‑related ABO‑compatible transplant. The patient was started on tacrolimus, mycophenolate mofetil, and steroids; no induction was given. The patient had a delayed graft function, and his creatinine was persistently high. Hence, a biopsy was done on postoperative day 4, which revealed an acute tubular injury with features of calcineurin inhibitor toxicity. His tacrolimus dose was reduced and his output improved until day 13, after which his renal function worsened. The repeat tacrolimus level was low. Hence, the patient was started on pulse steroids and discharged after the patient improved symptomatically (discharge creatinine: 2.1). The patient was readmitted 3 days after discharge with severe abdominal pain. The patient’s blood pressure was 90/30 mmHg; he was drowsy and tachypneic. His abdomen was distended. Computed tomography of the abdomen revealed pneumoperitoneum, and the patient was subjected to an explorative laparotomy. There was colonic perforation. The peritoneum and colon revealed multiple punched‑out lesions and a right hemicolectomy was done. A biopsy revealed suppurative inflammation involving all three layers with multiple giant cells, and tissue staining revealed ribbon‑like aseptate hyphae with 90° angulation suggestive of mucormycosis. The patient expired in the immediate postoperative period. The final diagnosis of mucormycosis‑associated colon perforation was made. Only one such case has been reported previously. [ABSTRACT FROM AUTHOR]
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- 2024
- Full Text
- View/download PDF
40. Clarification of Systemic Corticosteroid Therapy in Community‑acquired Pneumonia.
- Author
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Hassanzad, Maryam, Asi, Maedeh, Valinejadi, Ali, Ghaffaripour, Hosseinali, Sadati, Elham, Derakhshan, Korosh Fakhimi, and Velayati, Ali Akbar
- Subjects
CORTICOSTEROIDS ,COMMUNITY-acquired pneumonia ,TACHYPNEA ,INFLAMMATION ,COMPUTED tomography - Abstract
We received a complaint of fever and tachypnea from a 6-year-old girl who came to our hospital. She was treated for 20 days with antibiotics and corticosteroids. She was admitted for 10 days with a diagnosis of pneumonia and was discharged after the fever subsided. Two days after her discharge, the respiratory symptoms returned, and she came to us because of the severity of her symptoms. We diagnosed her with community-acquired pneumonia (CAP), performed the necessary radiographic and laboratory procedures, and the following outcomes were obtained: the computed tomography scan revealed consolidation between the right lung’s upper and middle lobes as well as an air bronchogram, but the chest ultrasound revealed no signs of pleural effusion. D‑dimer, white blood cell, erythrocyte sedimentation rate, and C‑reactive protein were also high in the laboratory test results, indicating pulmonary inflammation. She was finally diagnosed with CAP, and although the cause of the illness is unknown, she underwent a 14-day course of common antibiotics. Two days after the medication began, the fever subsided, and the tachypnea decreased. We believe that the corticosteroid treatment during the initial hospital stay is what caused the disease agent to persist and cause the fever to recur. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
41. POSTĘPOWANIE I OPIEKA PIELĘGNIARSKA NAD NASTOLETNIM PACJENTEM Z ZATOROWOŚCIĄ PŁUCNĄ -- STUDIUM PRZYPADKU.
- Author
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Borowczyk, Zofia Maria and Pyszczorska, Monika
- Subjects
EDUCATION of parents ,PULMONARY embolism ,NURSING care plans ,PHYSICAL diagnosis ,HEALTH status indicators ,INTERPROFESSIONAL relations ,MEDICAL quality control ,TACHYCARDIA ,THROMBECTOMY ,TACHYPNEA ,PATIENT monitoring ,HYPOTENSION ,HEALTH care teams - Abstract
Copyright of Polish Nursing / Pielegniarstwo Polskie is the property of Poznan University of Medical Sciences Publishing and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
- Published
- 2024
- Full Text
- View/download PDF
42. Diaphragm Dysfunction and Ultrasound Perioperatively (DiaphPeriop)
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Karolinska Institutet and Jessica Kåhlin, Medical Doctor, PhD
- Published
- 2023
43. Chest Pain in Bilateral Orthotopic Lung Transplant.
- Author
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Vu, Peter D., Ekechukwu, Diana, Martínez-Santori, Mara, and Dragojlovic, Nikola
- Subjects
- *
PNEUMONIA , *DIAPHRAGM (Anatomy) , *CHEST pain , *LUNG transplantation , *PATIENTS , *TRANSPLANTATION of organs, tissues, etc. , *RESPIRATORY therapy , *DIFFERENTIAL diagnosis , *SPIROMETRY , *COMPUTED tomography , *CHEST X rays , *ANALGESICS , *NOSOCOMIAL infections , *CHEST (Anatomy) , *RIB fractures , *DYSPNEA , *TACHYCARDIA , *TACHYPNEA , *DIETARY proteins , *REHABILITATION , *DISEASE complications - Abstract
The article presents a case of a 70-year-old man who experienced chest pain following a bilateral orthotopic lung transplant, emphasizing the differential diagnoses and management strategies. Topics include the diagnostic process to rule out serious conditions such as pulmonary embolism and myocardial infarction, the role of imaging in identifying rib fractures and diaphragm eventration, and the rehabilitation approach to address pain and improve functional outcomes in post-transplant patients.
- Published
- 2024
- Full Text
- View/download PDF
44. A two-circuit strategy for intraoperative extracorporeal support during single lung transplantation in a patient bridged with venovenous extracorporeal membrane oxygenation.
- Author
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Hang, Dustin, Chandrashekarappa, Kiran, Schilling, Kyle, Ubert, Adam, de Oliveira, Nilto, and Pagel, Paul S
- Subjects
- *
SURGICAL therapeutics , *RESPIRATORY insufficiency , *NASAL cannula , *TACHYPNEA , *CARDIOVASCULAR system physiology , *LUNG transplantation , *EXTRACORPOREAL membrane oxygenation , *PATIENT-centered care , *CARDIAC output , *CARDIOPULMONARY bypass , *LEUCOCYTE disorders , *PERFUSION - Abstract
Venovenous extracorporeal membrane oxygenation is increasingly used as a bridging strategy in decompensating patients awaiting lung transplantation. Various approaches for continuing support intraoperatively have been previously described. A two-circuit strategy that uses the in situ venovenous extracorporeal membrane oxygenation circuit supplemented with peripheral cardiopulmonary bypass allows for diversion of native cardiac output away from the transplanted lung as well as seamless continuation of venovenous extracorporeal membrane oxygenation postoperatively. [ABSTRACT FROM AUTHOR]
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- 2024
- Full Text
- View/download PDF
45. Metastatic testicular cancer presenting with dyspnoea: A case report on the utility of lung ultrasound in the emergency department.
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Sepúlveda Barisich, Patrick, Irarrazaval Trigo, Anita Soraya, and Gallardo, Adrián
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MEDICAL protocols ,RESPIRATORY insufficiency ,COMPUTED tomography ,MULTIPLE organ failure ,LUNGS ,CHEST X rays ,METASTASIS ,TRACHEA intubation ,DYSPNEA ,TACHYPNEA ,TESTIS tumors ,DISEASE complications ,SYMPTOMS - Published
- 2024
- Full Text
- View/download PDF
46. Chemo- and optogenetic activation of hypothalamic Foxb1-expressing neurons and their terminal endings in the rostral-dorsolateral PAG leads to tachypnea, bradycardia, and immobility.
- Author
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Cola, Reto B., Roccaro-Waldmeyer, Diana M., Naim, Samara, Babalian, Alexandre, Seebeck, Petra, Alvarez-Bolado, Gonzalo, and Celio, Marco R.
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HYPOTHALAMUS , *BRADYCARDIA , *NEURONS , *TACHYPNEA , *DEFENSIVENESS (Psychology) , *PLETHYSMOGRAPHY - Abstract
Foxb1 -expressing neurons occur in the dorsal premammillary nucleus (PMd) and further rostrally in the parvafox nucleus, a longitudinal cluster of neurons in the lateral hypothalamus of rodents. The descending projection of these Foxb1+ neurons end in the dorsolateral part of the periaqueductal gray (dlPAG). The functional role of the Foxb1+ neuronal subpopulation in the PMd and the parvafox nucleus remains elusive. In this study, the activity of the Foxb1+ neurons and of their terminal endings in the dlPAG in mice was selectively altered by employing chemo- and optogenetic tools. Our results show that in whole-body barometric plethysmography, hM3Dq-mediated, global Foxb1+ neuron excitation activates respiration. Time-resolved optogenetic gain-of-function manipulation of the terminal endings of Foxb1+ neurons in the rostral third of the dlPAG leads to abrupt immobility and bradycardia. Chemogenetic activation of Foxb1+ cell bodies and ChR2-mediated excitation of their axonal endings in the dlPAG led to a phenotypical presentation congruent with a 'freezing-like' situation during innate defensive behavior. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
47. Empyema Necessitans From Actinomyces meyeri Masquerading as an SSTI.
- Author
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Clary, Cody, Desai, Nilesh, and Falco, Carla
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OSTEOMYELITIS diagnosis , *DIAGNOSIS of bacterial diseases , *SKIN diseases , *HYDROCEPHALUS , *SOFT tissue infections , *COMMUNICABLE diseases , *TACHYPNEA , *HEMATOMA , *DIABETES insipidus , *ACTINOMYCOSIS , *PERVASIVE child development disorders , *MAGNETIC resonance imaging , *DIFFERENTIAL diagnosis , *NEURAL development , *FLUOROSCOPY , *CEREBROSPINAL fluid shunts , *SPASTICITY , *EPIDERMAL cyst , *SCAPULA , *MALNUTRITION , *EMPYEMA , *CEREBRAL cortex abnormalities , *CEREBRAL palsy , *COMPUTED tomography , *DENTAL caries , *COMORBIDITY , *THORACIC vertebrae , *NECROTIZING fasciitis , *NOCARDIA , *DISEASE complications - Abstract
The article describes the case of a six-year-old girl with schizencephaly, shunted hydrocephalus, epilepsy, global development delay, diabetes insipidus, and spastic quadriplegic cerebral palsy. Topics discussed include findings on her medical examination, major categories of the differential diagnosis for a child with acquired chest wall mass, and final diagnosis of thoraco-abdominal actinomycosis with chest wall invasion.
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- 2024
- Full Text
- View/download PDF
48. Inconsolability in a Nonverbal Adolescent.
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Bhowal, Anushka, Cooper, Felicia, and Donner, Elizabeth
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PHYSICAL diagnosis , *X-rays , *NONVERBAL communication , *TACHYPNEA , *CHEST X rays , *LORAZEPAM , *CRYING , *TORSO , *AGITATION (Psychology) , *DEVELOPMENTAL disabilities , *DIFFERENTIAL diagnosis , *HAND , *TACHYCARDIA , *ANGER , *BLOOD cell count , *CLOBAZAM , *RETT syndrome , *BREATH holding , *ABDOMINAL radiography , *KETOROLAC , *SYMPTOMS , *ADOLESCENCE - Abstract
The article describes the case of a 13-year-old female with chronic medical history of presumed Rett syndrome (RTT) based on developmental regression and behavioral observation, microcephaly, seizure disorder, and gastrostomy tube dependence. Topics discussed include findings on medical examination of the patient, clinical characteristics of Rett syndrome, and differential diagnosis, workup, and outcomes of therapeutic interventions trialed for patient's agitation.
- Published
- 2024
- Full Text
- View/download PDF
49. PROGNOSTIC SIGNIFICANCE OF BUNDLE BRANCH BLOCK IN ACUTE CORONARY SYNDROME.
- Author
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Prathap, B., Ujjwala, V., Mahesh, B., and Sarvani, Kapa
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ACUTE coronary syndrome , *BUNDLE-branch block , *CHEST pain , *CORONARY care units , *CORONARY artery disease , *CARDIOVASCULAR diseases ,DEVELOPED countries - Abstract
BACKGROUND: Cardiovascular disease has now become the leading cause of mortality in India. The primary cause of death in most of the developed nations is CHD, despite improvements in diagnostic and therapeutic procedures. The electrocardiogram's left bundle-branch block could mask the alterations caused by MI which delays the management. MAIN TEXT AIMS AND OBJECTIVES: To understand the significance of bundle branch block. To estimate the incidence of bundle branch block and its prognosis in acute coronary syndrome. PATIENTS AND METHODS: A prospective analytical study was done on 150 patients over 18 months with patients with angina chest pain admitted to the coronary care unit. Patients with known bundle branch block and previous coronary artery disease are excluded from the study results Right bundle branch block may occur normally in healthy individuals but when it is associated with acute coronary syndrome it indicates poor prognosis compared to the left bundle branch block. [ABSTRACT FROM AUTHOR]
- Published
- 2024
50. Multimodality imaging for comprehensive non‐invasive diagnosis of aorto‐left ventricular tunnel in infancy.
- Author
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Rakha, Shaimaa, Batouty, Nihal M., Abdelrahman, Alaa, and ElDerie, Ahmad AbdelAleem
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LUNG disease diagnosis , *CONGENITAL heart disease diagnosis , *LEFT heart ventricle , *ECHOCARDIOGRAPHY , *PRENATAL diagnosis , *TACHYPNEA , *CHEST X rays , *CONGENITAL heart disease , *DIFFERENTIAL diagnosis , *AORTIC stenosis , *DIAGNOSTIC imaging , *DOPPLER echocardiography , *TACHYCARDIA , *DILATED cardiomyopathy - Abstract
Background: Aorto‐left ventricular tunnel (ALVT) is a paravalvular communication between aorta and left ventricle. It is one of the rare congenital heart diseases which could present with heart failure. Case presentation: A case of ALVT was diagnosed in infancy. Preliminary assessment was possible using conventional echocardiography; however, functional assessment and accurate anatomy of ALVT were further verified via variable imaging modalities starting from speckle tracking and three‐dimensional echocardiography to cardiac CT angiogram. The tunnel was successfully repaired with uneventful recovery. Conclusions: Multimodality imaging can accurately assess cardiac function and demonstrate the anatomy of ALVT noninvasively to plan for successful intervention. [ABSTRACT FROM AUTHOR]
- Published
- 2024
- Full Text
- View/download PDF
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