Oxygen saturation targets in pediatric respiratory disease

2022 ◽  
Author(s):  
Akito Nagakura ◽  
Yoshihiko Morikawa ◽  
Nao Takasugi ◽  
Hanako Funakoshi ◽  
Yoko Miura ◽  
...  
Respirology ◽  
2013 ◽  
Vol 18 (3) ◽  
pp. 507-513 ◽  
Author(s):  
Ivan T. Ling ◽  
Bhajan Singh ◽  
Alan L. James ◽  
David R. Hillman

1994 ◽  
Vol 41 (2) ◽  
pp. 103
Author(s):  
In Seon Choi ◽  
Jae Beom Yang ◽  
Young Chul Kim ◽  
Ik Joo Chung ◽  
Yu Ho Kang ◽  
...  

2019 ◽  
Vol 97 (6) ◽  
pp. 2357-2367 ◽  
Author(s):  
Joaquin Baruch ◽  
Natalia Cernicchiaro ◽  
Charley A Cull ◽  
Kelly F Lechtenberg ◽  
Jason S Nickell ◽  
...  

Abstract The objective of this study was to evaluate the diagnostic performance of chute-side diagnostic methods for detecting physiological and pathological changes as indicators of early bovine respiratory disease (BRD) in calves experimentally inoculated with infectious bovine rhinotracheitis virus (IBR) and Mannheimia haemolytica (Mh). A challenge study was performed over 14 d in 30 Holstein steers [average weight (±SEM) = 211 kilograms (kg) ± 2.4 kg] inoculated on day 0 with IBR and on day 6 with Mh. Diagnostic methods included clinical illness scores (CIS), lung auscultation using a computer-aided stethoscope (CAS), rectal temperature, facial thermography, pulse oximetry, and bilateral thoracic ultrasonography. Animals were randomized into 1 of 5 necropsy days (days 6, 7, 9, 11, and 13) when the percentage of lung consolidation was estimated. The effect of study day on the results of the diagnostic methods and associations between each diagnostic method’s values with lung consolidation measured at necropsy were determined with mixed models. Values for all diagnostic methods differed significantly (P < 0.01) by day. During the IBR phase (days 0 to 6) calves had “normal” to “moderate” CIS, whereas during the Mh phase (days 6.5 to 13) scores were predominantly “severe” to “moribund.” Similarly, CAS scores were “normal” and “mild acute” during the IBR phase and “mild acute” to “moderate acute” after the Mh challenge. Oxygen saturation did not differ significantly between days 0, 1, 2, 4, and 6; however, significantly decreased 12 h after inoculation with Mh (P < 0.05). Mean lung consolidation between animal’s right and left side recorded by ultrasound was 0.13% (±0.07) before the inoculation with Mh. However, during the Mh phase, mean consolidation increased significantly over time (P < 0.05). The percentage of lung consolidation at necropsy ranged from 1.7% (±0.82) on day 6 to 55.4% (±7.49) on day 10. Clinical illness scores, rectal temperature, facial thermography, oxygen saturation, and ultrasonography were significantly associated (P < 0.05) with lung consolidation at necropsy. In addition, there was a significant trend (P = 0.07) between CAS and lung consolidation scores at necropsy. These chute-side diagnostic methods are useful for detecting disease progression on animals with early stages of BRD.


2019 ◽  
Vol 54 (5) ◽  
pp. 637-643 ◽  
Author(s):  
Stefano Nobile ◽  
Paolo Marchionni ◽  
Carlo Gidiucci ◽  
Alessio Correani ◽  
Maria L. Palazzi ◽  
...  

2012 ◽  
Vol 46 (5) ◽  
pp. 4-5
Author(s):  
MIRIAM E. TUCKER
Keyword(s):  

2014 ◽  
Vol 71 (5) ◽  
pp. 267-274
Author(s):  
Judith A. Schneider Spence ◽  
Andreas J. Bircher ◽  
Kathrin Scherer Hofmeier

Während eine allergologische Abklärung im Work-Up eines Asthma bronchiale inbegriffen sein sollte, wird die chronisch obstruktive Pneumopathie nicht spontan mit einer atopischen Diathese in Zusammenhang gebracht. Anamnese, Klinik, das Vorhandensein weiterer atopischer Krankheiten sowie Prickteste und die serologische Messung von spezifischen IgE-Antikörpern geben Hinweise auf eine allergische Genese einer akuten oder chronischen Lungenkrankheit. Der Stickoxidwert in der Ausatemluft (FeNO-Messung) kann durch die Infiltration von Eosinophilen in die Bronchialwand beim allergischen Phänotyp des Asthma bronchiale erhöht sein (TH2-gewichteter Phänotyp). Eine Abhängigkeit der Beschwerden vom Arbeitsplatz muss evaluiert werden. Neben dem allergischen Typ des Asthma bronchiale soll auch an eine Aspirin-exacerbated-respiratory disease (AERD) gedacht werden. Aufgrund der überlappenden pathophysiologischen Grundlagen und der Symptomatik zwischen Asthma bronchiale und der chronisch obstruktiven Pneumopathie ist die Zuweisung zum Allergologen allenfalls auch bei einem COPD-Patienten indiziert.


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