scholarly journals The use of the thoracic-abdominal rebalancing technique in a patient with acute viral bronchiolitis: an experimental report

2021 ◽  
Vol 1 (4) ◽  
pp. 70-78
Author(s):  
Ana Paula Felix Arantes
Keyword(s):  
Respiratory Distress ◽  
Hospital Stay ◽  
Hospital Care ◽  
Respiratory Effort ◽  
Acute Viral Bronchiolitis

Acute Viral Bronchiolitis (AVB) commonly affects newborns and infants causing signs of mild to moderate respiratory distress, presenting in some cases, need of hospital care to these patients. Thus, despite the low evidence levels of indicating the use of conventional therapies while treating BVA, this article presents the effectiveness of the Thoracic-Abdominal Rebalancing (TAR) technique in a newborn diagnosed with BVA during his hospital stay. The ATR technique proved to be effective in improving signs of respiratory effort when used in an infant hospitalized for AVB.

scholarly journals Humanization according to cancer patients with extended hospitalization periods

2010 ◽  
Vol 8 (2) ◽  
pp. 221-227 ◽  
Author(s):  
Natália Tatiani Gonçalves Brito ◽  
Rachel de Carvalho
Keyword(s):  
Hospital Stay ◽  
Cancer Patients ◽  
Hospital Care ◽  
Albert Einstein ◽  
Quantitative Approach ◽  
Professional Responsibility ◽  
Her Family ◽  
Exploratory Survey ◽  
Oncology Unit ◽  
Legal Procedures

ABSTRACT Objective: To identify the concept of humanization and raise aspects that contribute towards and that hinder humanization of hospital care, according to the opinion of oncology patients. Methods: This is a descriptive-exploratory survey, with a qualitative-quantitative approach. The sample was made up of 10 patients hospitalized for more than 30 days at the Oncology Unit of Hospital Israelita Albert Einstein, who, after satisfying ethical and legal procedures, were interviewed and answered three questions in reference to humanization in oncology. Results: The factors that contributed more towards humanization were warmth in giving care, friendliness, and smiles, and the factors that hindered it were bad moods, noise, and not being promptly attended. Conclusions: Hospital humanization should be experienced and felt by all those who work at hospital and needs to be reflected in the care offered to the client and his/her family members. These aspects become vital in oncology in order to understand the difficult period the patient is going through during the hospital stay, showing an interest in his/her problems and struggles with an attitude of empathy and cordiality, always acting ethically and with professional responsibility.

Neonatal Resuscitation

2021 ◽  
pp. 177-182
Author(s):  
Sarah Nizamuddin
Keyword(s):  
Heart Rate ◽  
Respiratory Distress ◽  
Positive Pressure Ventilation ◽  
Neonatal Resuscitation ◽  
Positive Pressure ◽  
Respiratory Effort ◽  
Chest Compressions ◽  
Adequate Ventilation

After birth, the neonate must be immediately examined to evaluate the need for further resuscitation. Presence of an adequate respiratory effort and heart rate is vital, in addition to adequate tone and temperature. Warm, dry, and closely monitor the infant immediately after birth. Give positive pressure ventilation if there are any signs of respiratory distress or bradycardia. Low heart rate in a neonate is almost always due to hypoxia, so establish adequate ventilation as soon as possible in these cases. In cases of continued bradycardia, chest compressions and medication (epinephrine) may be necessary. Following resuscitation, transfer the neonate to an appropriate unit for continued monitoring.

scholarly journals Clinical Presentation of Nonhaemolytic Transfusion Reactions

1980 ◽  
Vol 8 (2) ◽  
pp. 125-131 ◽  
Author(s):  
Bryan Rush ◽  
Newton L. Y. Lee
Keyword(s):  
Differential Diagnosis ◽  
Blood Transfusion ◽  
Respiratory Distress ◽  
Hospital Stay ◽  
Clinical Presentation ◽  
Allergic Reactions ◽  
Red Cell ◽  
Transfusion Reaction ◽  
Cell Compatibility ◽  
Transfusion Reactions

Due to the sophistication of red cell compatibility testing, the majority of transfusion reactions are non-haemolytic in origin. This paper reviews the clinical presentation of these reactions, emphasising that blood transfusion reaction must always be considered in the differential diagnosis when a patient develops unexpected complications during his hospital stay. Fever, allergic reactions, respiratory distress, hypotension and jaundice may all be manifestations of a transfusion reaction.

Early safety outcome in patients requiring conversion to general anesthesia during transfemoral transcatheter aortic valve replacement

2020 ◽  
Vol 41 (Supplement_2) ◽  
Author(s):  
P Mayr ◽  
C Pellegrini ◽  
T Rheude ◽  
T Trenkwalder ◽  
H Alvarez-Covarrubias ◽  
...  
Keyword(s):  
Respiratory Distress ◽  
Hospital Stay ◽  
General Anesthesia ◽  
Length Of Hospital Stay ◽  
Composite Endpoint ◽  
Safety Outcome ◽  
Transcatheter Aortic Valve ◽  
Minimalist Approach ◽  
Procedural Complications ◽  
Underlying Causes

Abstract Background Transfemoral TAVR (tf-TAVR) has become an established therapy. Conscious sedation (CS) is a alternative to general anesthesia (GA). So far, the outcome of patients undergoing unplanned conversion from CS to GA has not been investigated. Methods All patients undergoing tf-TAVR in CS between 2014 and 2019 were included. Primary endpoint was early safety at 30 days according to VARC-2 criteria. The reasons for conversion and length of ICU-/ hospital-stay were further analyzed. Results Of 1058 patients 35 (3.3%) required a conversion. Baseline characteristics were similar among groups. The combined VARC-2 endpoint was documented in 13 (37%) of the converted and 110 (11%) of non-converted patients (p<0.001). Four major sub-groups were underlying causes: unrest in 11/35, procedural complications in 10/35, respiratory distress in 8/35 and cardiovascular decompensation in 6/35 patients. An univariable analysis was performed to identify risk factors for unplanned conversion due to respiratory distress or cardiovascular decompensation (Table). Compared to the group without conversion (Median [IQR], 4 [4–5] days), length of hospital stay was longest in the group with procedural complications (6 [1–11] days) followed by cardiovascular decompensation (5 [4–7] days). Conclusions The conversion rate to general anesthesia was overall low but associated with a higher observation of the composite endpoint. Hospital stay was longer dependent on the reason for conversion. A thorough understanding of the frequency, causal factors and clinical significance of unplanned conversion to general anesthesia is of utmost clinical relevance taking a general trend towards a minimalist approach into consideration. Funding Acknowledgement Type of funding source: None

scholarly journals Acute viral bronchiolitis as a cause of pediatric acute respiratory distress syndrome

2020 ◽  
Author(s):  
Marwa M. H. Ghazaly ◽  
Nagla H. Abu Faddan ◽  
Duaa M. Raafat ◽  
Nagwa A. Mohammed ◽  
Simon Nadel
Keyword(s):  
Risk Factor ◽  
Acute Respiratory Distress Syndrome ◽  
Respiratory Distress Syndrome ◽  
Respiratory Distress ◽  
Distress Syndrome ◽  
Demographic Data ◽  
Significant Risk ◽  
Common Cause ◽  
Syncytial Virus ◽  
Acute Viral Bronchiolitis

Abstract The Pediatric Acute Lung Injury Consensus Conference (PALICC) published pediatric-specific guidelines for the definition, management, and research in pediatric acute respiratory distress syndrome (PARDS). Acute viral bronchiolitis (AVB) remains one of the leading causes of admission to PICU. Respiratory syncytial virus (RSV) is the most common cause of AVB. We aimed to evaluate the incidence of PARDS in AVB and identify the risk of RSV as a trigger pathogen for PARDS. This study is a retrospective single-center observational cohort study including children < 2 years of age admitted to the pediatric intensive care unit at St Mary’s Hospital, London, and presented with AVB in 3 years (2016–2018). Clinical and demographic data was collected; PALICC criteria were applied to define PARDS. Data was expressed as median (IQR range); non-parametric tests were used. In this study, 144 infants with acute viral bronchiolitis were admitted to PICU in the study period. Thirty-nine infants fulfilled criteria of PARDS with RSV as the most common virus identified. Bacterial infection was identified as a risk factor for development of PARDS in infants with AVB. Conclusion: AVB is an important cause of PARDS in infants. RSV is associated with a higher risk of PARDS in AVB. Bacterial co-infection is a significant risk factor for development of PARDS in AVB. What is Known:• Bronchiolitis is a common cause of respiratory failure in children under 2 years.• ARDS is a common cause of PICU admission. What is New:• Evaluation of bronchiolitis as a cause of PARDS according to the PALLIC criteria.• Evaluation of different viruses’ outcome in PARDS especially RSV as a commonest cause of AVB.

Post-operative respiratory distress following primary cleft palate repair

2012 ◽  
Vol 127 (1) ◽  
pp. 65-66 ◽  
Author(s):  
D Smith ◽  
S E F H J Abdullah ◽  
A Moores ◽  
D M Wynne
Keyword(s):  
Respiratory Distress ◽  
Cleft Palate ◽  
Hospital Stay ◽  
Obstructive Sleep Apnoea ◽  
Cleft Lip And Palate ◽  
Sleep Apnoea ◽  
Obstructive Sleep ◽  
Nasopharyngeal Airway ◽  
Cleft Palate Repair ◽  
Palate Repair

AbstractIntroduction:Infants are obligate nasal breathers. Cleft palate closure may result in upper airway compromise. We describe children undergoing corrective palatal surgery who required unplanned airway support.Setting:Tertiary referral unit.Method:Retrospective study (2007–2009) of 157 cleft palate procedures (70 primary procedures) in 43 patients. Exclusion criteria comprised combined cleft lip and palate, secondary palate procedure, and pre-existing airway support.Results:The children's mean age was 7.5 months and their mean weight 7.72 kg. Eight children were syndromic, and eight underwent pre-operative sleep studies (five positive, three negative). Post-operatively, five developed respiratory distress and four required oxygen, both events significantly associated with pre-operative obstructive sleep apnoea (p = 0.001 and 0.015, respectively). Four desaturated within 24 hours. Five required a nasopharyngeal airway. Hospital stay (mean, 4 days) was significantly associated with obstructive sleep apnoea (p = 0.002) and nasopharyngeal airway insertion (p = 0.017).Discussion:Pre-operative obstructive sleep apnoea correlated significantly with post-operative respiratory distress, supplementary oxygen requirement, nasopharyngeal airway insertion and hospital stay. We recommend pre-operative sleep investigations for all children undergoing cleft palate repair, to enable appropriate timing of the procedure.

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