scholarly journals Glutaric aciduria type 2 presenting with acute respiratory failure in an adult

2015 ◽  
Vol 15 ◽  
pp. 92-94 ◽  
Author(s):  
Ebru Ortac Ersoy ◽  
Dorina Rama ◽  
Özlem Ünal ◽  
Serap Sivri ◽  
Arzu Topeli
2020 ◽  
pp. 3867-3880
Author(s):  
Susannah Leaver ◽  
Jeremy Cordingley ◽  
Simon Finney ◽  
Mark Griffiths

Acute respiratory failure is defined clinically by hypoxaemia with (type 2) or without (type 1) hypercapnia. It is one of the most common problems afflicting critically ill patients and is a common indication for transfer to an intensive care unit. Critical illness may be manifest solely as respiratory insufficiency, especially in patients with covert infection. Acute respiratory failure frequently coexists with other organ system failures in the critically ill, and delayed recognition of the condition adversely affects outcome. The signs of critical illness tend to be similar whatever the precipitating cause and are manifest in failure of the respiratory, cardiovascular, and neurological systems. Full and repeated physical examination may be required to assess the cause and severity of acute respiratory failure and its associated complications, but in severe cases should not delay the instigation of life-saving support and treatment.


1999 ◽  
Vol 2 (1) ◽  
pp. 94-100 ◽  
Author(s):  
Robert W. Bendon

A case of Ivemark's renal-hepatic dysplasia syndrome is presented. The findings are suggestive of a ductal obstructive process anatomically located at the junction of ducts with the parenchyma. The differential diagnosis includes Meckel syndrome, short rib polydactyly syndromes, and glutaric aciduria type 2. The molecular basis for this syndrome remains unknown.


2010 ◽  
Vol 43 (4) ◽  
pp. 279-282 ◽  
Author(s):  
Pornswan Wasant ◽  
Chulaluck Kuptanon ◽  
Nithiwat Vattanavicharn ◽  
Somporn Liammongkolkul ◽  
Pisanu Ratanarak ◽  
...  

Author(s):  
Dr. Abdul Ahad Wani ◽  
Dr. Manzoor Ahmad ◽  
Dr. Amir Shafi ◽  
Dr. Muzaffar Naik ◽  
Dr. Tariq Bhat ◽  
...  

Background: A prospective study to evaluate the etiological factors, clinical features, treatment modalities and outcome of acute respiratory failure in adults (> 18 years age) in Kashmir valley north India is important to understand the epidemiological trends and the detailed disease manifestations. Methods: We conducted a hospital based prospective study which was conducted over a period of one and half year, initiated in January 2018 and concluded in 2019 in tertiary care hospital. 100 patients above the age of 18 years with acute respiratory failure were actively enrolled. Acute respiratory failure was identified by the defined criteria, in any patient presenting with respiratory arrest / respiratory failure/respiratory distress with SPO2 ≤92%, breathlessness of <2 weeks duration and altered respiratory pattern. The patients who fulfilled at least one of the following criteria of respiratory failure were included in the study. (I)Arterial PaO2<70mmHg, (II)Peripheral O2 saturation ≤92% breathing in room air (III) Arterial PaCO2 ≥45mmHg (IV) PH ≤7.35 with signs and symptoms of respiratory distress. Results: Of the total of 100 patients included in the study, the mean age of the cohort was 55 SD ± 19 years. The cause of respiratory failure were COPD with acute exacerbation (45%), sepsis with MODS (20%), acute O.P. poisoning (12%), massive ICH (4%), acute liver failure with respiratory failure(3%), ARDS(3%),acute opioid poisoning with respiratory failure (3%), acute LVF (2%),PTE (2%), anaphylaxis (2%), acute M.I. (1%), myasthenia crisis (2%) strangulation with asphyxia (1%) and fat embolism (1%). Type-2 respiratory failure was found in 45% while type-1 respiratory failure was found in 55% patients. 55 % patients needed invasive ventilation; 26% patients needed NIV. While 19% patients needed high flow oxygen with nasal cannula. Conclusion: Commonest cause of acute respiratory failure in adults is COPD with acute exacerbation (45%) followed by sepsis with MODS (20%). Type 2 respiratory failure accounted for 45% while type 1 accounted for 55% of acute respiratory failure in adults. In our study, COPD is the leading cause of death in acute respiratory failure followed by sepsis with MODS.


1984 ◽  
Vol 104 (6) ◽  
pp. 961 ◽  
Author(s):  
G. Mitchell ◽  
J.M. Saudubray ◽  
M.C. Gubler ◽  
R. Habib ◽  
H. Ogier ◽  
...  

Author(s):  
Phạm Văn Đếm

SUMMARY THE CLINICAL FEATURE, CAUSES AND CLASSIFICATION OF PEDIATRIC ACUTE RESPIRATORY FAILURE THROUGH ARTERIAL BLOOD GAS Pham Thi Que, Pham Van Thang Ha Noi Medical University   Objectives: The study to describe clinical feature, causes and classification of acute respiratory failure in children through arterial blood gas in the Intensive Care Unit of Vietnam National Children's Hospital. Subjects and Methods: Aprospective descriptive study on 96 patients with acute respiratory failure in the Intensive Care Unit in Vietnam of National Children's Hospital from 10/2016 to 10/2017. Results: Type 2 acute respiratory failure was 55,2%, followed by type 1 with 25% and type 3 with 19,8%. Total patients with type 1 respiratory failure had tachypnea, cyanosis and SpO2 ˂ 90% and bilateral parenchymal lung injury. Type 2 acute respiratory failure can have symptoms like brachypnea, acynosis, SpO2 ≥ 90%. Wheezing is most common; emphysema and atelectasis with 37,2%. Bronchopneumonia is the most common cause of acute respiratory failure, including 61,1% type 2 acute respiratory failure. Conclusion: Based on the clinical feature of acute respiratory failure as a basis for assessing severe condition and appropriate treatment interventions. Key words: classification of acute respiratory failure, arterial blood gas.  


1991 ◽  
Vol 11 (2) ◽  
pp. 77-82 ◽  
Author(s):  
Toru Sakuma ◽  
Naruji Sugiyama ◽  
Takashi Ichiki ◽  
Masanori Kobayashi ◽  
Yoshiro Wada ◽  
...  

Author(s):  
Susannah Leaver ◽  
Timothy Evans

Acute respiratory failure is defined clinically by hypoxaemia (PaO2 <8 kPa, normal range 10–13.3 kPa) with (type 2) or without (type 1) hypercapnia (PaCO2 >6.5 kPa). It is one of the most common problems afflicting the severely ill patient and often necessitates intensive care unit admission....


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