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Your search keyword '"Gie, R. P."' showing total 246 results
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246 results on '"Gie, R. P."'

9. Pulmonary

Author

Todorovič-Guid M., Žic L., Kanič Z., Burja S., Bračič K., Piotrowski A., Krajewski P., Czech P., Kawczyński P., Stengert P., van der Deure J., Markhorst G. C., Haasnoot K., Hatori, Fumimaro, Uchida, Haruo, Katayama, Masao, Muto, Rika, Grubbauer, H. M., Kerbl, R., Litscher, H., Zobel, G., Trop, M., Jouvet, P., Hubert, P., Isabey, D., Pinquier, D., Dahan, E., Cloup, M., Harf, A., Ferreira A. C. P., Carvalho W. B., Kopelman B. I., Lee J. H., Kolesnichenko, A. P., Milenin, O. B., Gritsan, A. I., Kuznetsova, I. V., Albano L., Panigazzi A., Saligari L., Capra D., Reta A., Engardt P., Alderete M., Fraser J., Pengilly A., Mok Q., Pope, John, Birnkrant, David, Martin, James, Repucci, Anthony, Germain, J. F., Thebaud, B., Farnoux, C., Cortez, A., Sibony, O., Beaufils, F., Modesto V., Ibiza E., Abengochea A., Arago J., Sanchis R., Ortola C., Varas R., Garcia E., Kling, S., Gie, R. P., Amantéa S., Piva J., Palombini B., Ulloa Santamaría E., Pérez Navero J. L., de la Ibarra Rosa I., Espino Hernández M., Velasco Jabalquinto M. J., Frías Pérez M., Mahmood, Rashid, Maqbool, Sajid, Hussain, Waqar, Mahmood, Tariq, Shoukat, Fauzia, Bustos R., Battisti O., Langhendries J. P., Francois A., Bertrand J. M., Fedora M., Nekvasil R., Vobruba V., Srnsky P., Zapadlo M., Zivkovic, Z., and Mihailovic, S.

Published
1996
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24. Missed opportunities in the diagnosis of pulmonary tuberculosis in children

Author

Gie, R. P., Beyers, N., Hendrik Simon Schaaf, and Donald, P. R.

Abstract

In 52% of children with confirmed and probable tuberculosis the diagnosis could have been made earlier than it was. The main clinical clues which should have led to suspicion of tuberculosis were close adult contacts and previous recurrent respiratory tract infections.

Published
2017

25. Compliance of the respiratory system as a predictor for successful extubation in very-low-birthweight infants recovering from respiratory distress syndrome

Author

Smith, J, Pieper, C H, Maree, D, and Gie, R P

Abstract

Objective. To develop additional criteria to predict for successful extubation of very-low-birth-weight infants recovering from respiratory distress syndrome.Design.Prospective study Setting. Neonatal intensive care unit at a university teaching hospital.Interventions. Infants ready for extubation according to clinical, ventilatory and blood gas criteria were studied. Before extubation, tidal volume (Vt), minute ventilation, respiratory rate/Vt and mean inspiratory flow were measured during two different ventilatory settings: (i) during intermittent mandatory ventilation (IMV); and (ii) while breathing spontaneously with endotracheal continuous . positive airway pressure (CPAP). Tidal volume was obtained through electronically integrated flow measured by a hotwire anemometer. Total respiratory compliance (Crs) was determined during IMV and was derived from the formula Vt/PIP-PEEP, where the difference between peak inspiratory pressure (PIP) and positive end-expiratory pressure (PEEP) represented the ventilator inflation pressure.Measurements and main results. Each of 49 infants was studied once before exmbation. 33 infants (67%) were successfully exmbated and 16 (32.6%) required reintubation. Infants in the success and failure groups were matched for gestation, postconceptional age, study weight and methylxanthine therapy at the time of study. Successful extubation was associated with a higher mean absolute Crs value (ml/cm H20) specific Crs value (standardised for body length; ml/ cm Hp/ cm) compared with infants in whom extubation failed (0.67 v. 0.46; P = 0.01 and 0.018 v. 0.014; P = 0.03, respectively). Analysis of Roe: curves detected threshOlds for Crs (0.5 ml/cm H20) and Vt (7 ml) for predicting successful extubation. An absolute Crs value 0.5 ml/cm H20 or more improved the likelihood of successful extubation when compared with clinical/ventilator and blood gas criteria. The likelihood of successful extubation was 81% if the Crs value was ≥ 0.5 ml/cm H20. A tidal volume of 7 ml or more was less sensitive in contributing to successful extubation (sensitivity 69%). The major causes for extubation failure included atelectasis (diffuse and/or localised) and the presence of a patent ductus arteriosus.Conclusions. In addition to following very precise ventilatory criteria for extubation, we found that bedside measurement of total respiratory system compliance added to the likelihood of extubation success in infants recovering from respiratory distress syndrome. Prospective studies are needed to validate the findings of this study.

Published
2017

32. Guideline for the management of acute asthma in children: 2013 update - Part 3: March 2013

Author

Kling, S, Zar, H J, Levin, M E, Green, R J, Jeena, P M, Risenga, S M, Thula, S A, Goussard, P, and Gie, R P

Subjects
respiratory tract diseases
Abstract

BACKGROUND: Acute asthma exacerbations remain a common cause of hospitalisation and healthcare utilisation in South African children. AIM: To update the South African paediatric acute asthma guidelines according to current evidence, and produce separate recommendations for children above and below 2 years of age. METHODS: A working group of the South African Childhood Asthma Group was established to review the published literature on acute asthma in children from 2000 to 2012, and to revise the South African guidelines accordingly. RECOMMENDATIONS: Short-acting inhaled bronchodilators remain the first-line treatment of acute asthma. A metered dose inhaler with spacer is preferable to nebulisation for bronchodilator therapy to treat mild to moderate asthma. Two to four puffs of a short-acting bronchodilator given every 20 - 30 minutes, depending on clinical response, should be given for mild attacks; up to 10 puffs may be needed for more severe asthma. Children with severe asthma or oxygen saturation (SpO2)

Published
2013

45. Clinical features and lung function in HIV-infected children with chronic lung disease.

Author

Weber, H. C., Gie, R. P., Wills, K., and Cotton, M. F.

Subjects
*LUNG disease treatment, *HIV-positive children, *PULMONARY function tests, *ANTIRETROVIRAL agents, *VIRAL load
Abstract

Background: Although chronic lung disease (CLD) is commonly seen in children with advanced HIV disease, it is poorly studied. Objectives: To report on the clinical manifestations and lung function tests in children with advanced HIV disease at a tertiary care centre, and determine clinical predictors of poor lung function. Methods: We undertook a cross-sectional study of children with advanced HIV disease in whom CLD was suspected. We undertook clinical evaluation and lung function tests, accompanied by a retrospective chart review. Results. In 56 children identified, the median age was 5 (interquartile range (IQR) 2 - 8) years with equal gender ratio. The majority (93%) had been previously treated for tuberculosis and/or pneumonia (71%). The most common CLD identified was lymphocytic interstitial pneumonitis (54%). The median nadir CD4 percentage was 13% (IQR 8.5 - 16%) and the median highest reported viral load was log5.8 (IQR log5.0 - log6.5). The median duration of antiretroviral therapy was 9.8 (IQR 1.1 - 19.5) months. Lung function tests were performed in 27 (48%) children. The median forced expiratory volume in 1 second (FEV1) was 60% (IQR 45.3 - 86.3%) predicted. Previous hospitalisation, respiratory rate, digital clubbing, chest hyperinflation and hyperpigmented skin lesions were associated with a decreased FEV1 in a univariate relationship. In a multiple linear regression analysis, hyperinflation, increased respiratory rate and hyperpigmented skin lesions were associated with poor lung function (percentage FEV1). Conclusion. We identified useful clinical signs predictive of poor lung function in HIV-infected children with CLD, especially in resourcelimited settings. [ABSTRACT FROM AUTHOR]

Published
2015
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