A RARE TRIGGER OF ASTHMA EXACERBATION: THE SCOTCH MARIGOLD
0
Citation
0
Reference
10
Related Paper
Keywords:
Tachypnea
Past medical history
Background: To study the clinical profile of neonates with respiratory distress.
Methods: A prospective study was conducted on 50 cases. Term, pre-term and post-term babies both in-borns and out-borns cases were included in the study.
Results: The majority of cases 43 (86.00%) presented with increased respiratory rate, chest in drawings. 42 (84%) babies had flaring of alae nasi.
Conclusion: Increased respiratory rate along with chest in drawing, flaring of alae nasi are the presentation of RD in majority of cases.
Keywords: Respiratory distress (RD), Clinical profile, Tachypnea
Tachypnea
Respiratory Rate
Presentation (obstetrics)
Cite
Citations (0)
Five handred sixty eight premature infants were admitted in the premature nursery of Kansai Medical University Hospital during 8 years from 1968 to 1975.102 infants of them developed IRDS, among whom 26 cases showed a course of Prolonged Respiratory Distress, suffering from tachypnea and cyanosis over four weeks duration. The author investigated clinically on these infants, especially on effects of oxygen administration for development of “Prolonged Respiratory Distress”, and the following results were obtained.(1) Out of twenty six Prolonged Respiratory Distress infants, eleven infants revealed characteristic signs of W-M Syndrome on chest x-ray finding. Two infants died of W-M Syndrome. All of twenty six Prolonged Respiratory Distress infants were born before 38 weeks of gestation and thein birthweights were under 2000g, several of them were small for dates babies.(2) Oxygen (FiO2,23-37%) were administered to prolonged respiratory distress infants untill central cyanosis was subsided. The durations were longer than 2 weeks, sometimes as long as 4 weeks.11 infants out of 26 prolonged respiratory distress revealed characteristic features of W-M Syndrome in chest x-ray. The W-M Syndrome Cases recieved oxygen therapy for 34 days in average, but O2 concentration administered was relatively low as 23-37%.(3) In this study series the author paid eff erts to shorten duration of O2 admimistration. Nevertheless, central cyanosis made it evitable to administer O2 longer than two weeks. Tachypnea had nothing to do with a reason of oxygen therapy.(4) Prolonged respiratory distress was diagnosed by long st anding respiratory distress with tachypnea and cyanosis longer than 4 weeks and characteristic finding of empyssma found in chest x-ray.(5) 45% of prolonged respiratory distress infants developed socalled lacey pattern (or bubbly pattern) in chest x-ray and became into W-M Syndrome.(6) Two out of eleven W-M Syndrome died of cor pulmo nale and their clinical coures were described in details, with histological findings. Prolonged Respiratory distres is a chinical course of recovery from IRDS, and an extrmely severe case is W-M Syndrome. Duration of O2 administration may have something to do with development of PRD from IRDS.
Tachypnea
Oxygen therapy
Cite
Citations (0)
Both transient tachypnea of newborn (TTPN) and respiratory distress syndrome(RDS) are the common reasons of neonatal respiratory dyspnea, but their treatments and prognosis are much different.It is difficult to differentiate them by clinical features and chest X-ray while the lung ultrasound can see it easily.In lung ultrasonography images, the TTPN mainly manifested with pulmonary edema, while the RDS mainly manifested with lung consolidation with air bronchograms.Thus, it is important to perform lung ultrasound routinely at the bed side.
Key words:
Transient tachypnea of newborn; Respiratory distress syndrome; Infant, newborn; Lung ultrasound
Tachypnea
Lung Ultrasound
Cite
Citations (1)
Asthma Exacerbations
Cite
Citations (24)
A 4-hour-old term female infant presents with respiratory distress that includes tachypnea, grunting, retractions, and cyanosis.Four hours after birth, because the patient exhibits tachypnea and appears dusky, she is transferred to the neonatal intensive care unit. She is not breastfeeding. Nasal continuous positive airway pressure (NCPAP) with 5 cm of H2O is administered, but the infant appears unstable, with varying respiratory effort and oxygen requirement. At 2 hours afterinitiation of NCPAP the oxygen saturation decreases to 65%, and she is intubated and placed on mechanical ventilation.Posteroanterior chest radiograph showed a large, right-sided opacity and pneumomediastinum (Fig. 1).Computed tomography scan showed a large anterior mediastinal mass and a right-sided pneumomediastinum (Figs. 2 and 3).Despite ventilator support, oxygen saturation continued to decrease. During surgical intervention on postnatal day 2, air in the mediastinum was drained, and the anterior mediastinal mass was biopsied. Following surgery, the infant’s respiratory status improved and oxygen saturation increased dramatically. However, 2 days after surgery, despite ventilatory support, the oxygen saturation decreased again, and the patient died of cardiac arrest.The differential diagnosis for the anterior mediastinal mass is traditionally known as the “four Ts”:Findings on pathologic examination of the mass were consistent with thymic hyperplasia (Fig. 4 and 5).Anterior mediastinal masses are not unusual in pediatric patients, with approximately 30% developing before age 12 years. Approximately 30% occur in the anterior, 30% in the middle, and 40% in the posterior compartment of the mediastinum. Thymic hyperplasia predominates in the neonatal population.The first step in evaluating a mediastinal mass lesion is to determine in which of the three mediastinal compartments it is located because each has specific differential diagnoses. Thymomas are the most common anterior mediastinal lesions in adults (20% of all mediastinal neoplasms), but are rare in children. The second most common primary anterior mediastinal mass in adults is lymphoma.Teratomas can present in a wide variety of locations with diverse clinical behavior. Mediastinal teratomas account for 4% to 11% of childhood teratomas and are the most common anterior mediastinal neoplasm in infants. Thymic hyperplasia is the most common anterior mediastinal mass in infancy, but generally is asymtomatic. Thymic hyperplasia rarely causes respiratory distress but should be considered in the differential diagnosis when dealing with newborn respiratory embarrassment.JoDee M. Anderson, MD, Division of Neonatal Medicine, Oregon Health & Science University, Portland, Ore.
Tachypnea
Chest radiograph
Pneumomediastinum
Oxygen Saturation
Cite
Citations (0)
Background: Bronchiectasis and asthma are different disease, However, some patients have both diseases. There are insufficient data for the effect of bronchiectasis on asthma exacerbations. Methods: We investigated 2270 patients having asthma in our hospital. Fifty patients had bronchiectasis and asthma. These patients were compared with fifty age and gender matched patients having asthma only. We evaluated frequency of asthma exacerbations (steroid use, emergency room (ER) visit and hospitalization) in each group. Results: The prevalence of bronchiectasis among the asthma patients was 2.2%. Follow up duration of each group was 51.9 ± 35.2 months for asthma with bronchiectasis and 53.8 ± 29.8 months for pure asthmatics. The number of asthma exacerbation/year (1.08±1.68 vs 0.35±0.42, p=0.004), steroid use/year (0.9±1.54 vs 0.26±0.36, p=0.006), ER visit/year (0.46±0.84 vs 0.26±0.36, p=0.001) and hospitalization/year (0.7±1.44 vs 0.1±0.17, p=0.4) due to asthma exacerbation was higher in asthma with bronchiectasis. Conclusion: The number of asthma exacerbation, steroid use, and ER visit due to asthma exacerbation was higher in asthma with bronchiectasis than pure asthma.
Asthma Exacerbations
Cite
Citations (0)
Tachypnea
Vital signs
Cite
Citations (6)
Next to NothingWhat comes next, you ask As I turn to keep you facing away While your neighbor collects The toothbrush and the shoes And the clothes prefolded After dressing for the last struggle In that room where the monitor is now dark With no line left.
Tachypnea
Cite
Citations (1)
Respiratory distress syndrome in premature babies is one of the most common and most important health problems in newborns. Respiratory distress syndrome of newborn is a syndrome in premature infants caused by developmental insufficiency of surfactant production and structural immaturity in the lungs. Respiratory distress syndrome begins shortly after birth and is manifest by tachypnea, tachycardia, chest wall retractions, expiratory grunting, nasal flaring and cyanosis during breathing efforts. Respiratory distress syndrome or complications caused by respiratory distress syndrome are the most important causes of mortality and morbidity in premature infants. This article briefly reviews respiratory distress syndrome and its complications.
Tachypnea
Cite
Citations (1)