research centers


Search results: Found 4

Listing 1 - 4 of 4
Sort by

Article
PREDICTORS OF HYPOXEMIA IN BRONCHIOLITIS IN ASAMPLE OF IRAQI INFANTS

Authors: Cawes Omar Hamad --- Muhi K. AL-Janabi --- Numan Nafie Hameed
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: PISSN: 00419419 / EISSN: 24108057 Year: 2008 Volume: 50 Issue: 2 Pages: 145-153
Publisher: Baghdad University جامعة بغداد

Loading...
Loading...
Abstract

Background: Bronchiolitis is the first episode of wheezing associated with low grade
fever, rhinitis, tachypnea, and increasing respiratory effort in a previously healthy
infant during the winter months, and it is the most common lower respiratory tract
infection in infancy.
Objectives: This study is designed to analyze the clinical signs and symptoms alone
or as combinations as possible predictors of severe hypoxemia in infants with
bronchiolitis.
Patients and methods: This is a prospective study, which was carried out on 96
infants with a mean age of 7.74 ،ہ3.72 months who were admitted to Children
Welfare Teaching Hospital in Medical City-Baghdad with bronchiolitis during the
period from 1st
October 2006 to the 15th
March 2007. They are divided into two
groups: group one 46 cases (oxygen saturation (SaO2<90) and group two, 50 cases
(SaO2،ف90).Complete history taken from care taker and full examination done for each
patient. A portable oximeter was used to measure oxygen saturation.
Results: Forty nine (51%) of patients were males and 47 were females (49%), with
male to female ratio of 1.04:1. The mean age was (7.745،ہ3.7) months. The mean
oxygen saturation was (90%), with a median of (84.7%) and a range of (76%-89%) in
group one (SaO2<90), while it was (95.32%) with a range of (90%-99%) in group two
(SaO2،ف90).
Conclusions: Reduced ability to feed, sleep disturbances, hypotonia and clinical
signs as suprasternal retractions, continuous nasal flaring, tachypnea, grunting, head
nodding and cyanosis appeared to be statistically highly significant in this study as
predictors of severe hypoxemia. Combinations of signs and symptoms that showed
statistically significant association with severe hypoxemia were: grunting or head
nodding, cyanosis or head nodding, tachypnea or sleep disturbance, tachypnea or
suprasternal retractions, and tachypnea or head nodding (p.value <0.0001) for all
mentioned combinations, So we recommend to use these combinations of signs and
symptoms as significant predictors of severe hypoxemia especially when pulse
oximetry is not available.


Article
Predictors of Hypoxemia in Children with Acute Lower Respiratory Tract Infections

Author: Muhi K.Al-Janabi
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2009 Volume: 8 Issue: 1 Pages: 40-46
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

Loading...
Loading...
Abstract

ABSTRACT:BACKGROUND:Acute lower respiratory tract infections (ALRI) are the leading cause of morbidity and mortality among children in developing countries, causing one – third of all deaths in childhood. Pulse oxymetry is a simple technique to determine the oxygen saturations.OBJECTIVE:It is important to accurately identify hypoxemic children by use of clinical signs alone.METHODS:A well matched case control study was performed on 104 children from 2 months to 5 years of age admitted with ALRI to the emergency department of Children Welfare Teaching Hospital -Medical City - Baghdad in the period from 15thMarch -15thJune 2006.Clinical symptoms and signs were recorded .Hypoxemia was defined as oxygen saturation less than 95%.The ability of various clinical symptoms and signs to predict the presence of hypoxemia was evaluated.RESULTS:Fifty (48.1%) children were hypoxemic. The median O2 saturation was 91.2%with a range of 82-94% Physical signs including tachypnea, intercostal and subcostal retractions, supraclavicular recessions, grunting and nasal flaring were statistically significantly associated with hypoxemiUse of combinations e.g. Tachypnea or head nodding ( P. 0.02 , sensitivity 70% , specificity 48%),tachypnea or suprasternal recessions( P.0.05 ,sensitivity 70% ,specificity 44%)only slightly improved the predictive ability.CONCLUSION:None of the clinical features either alone or in combinations have sufficient sensitively and specificity to predict hypoxemia in children with acute lower respiratory tract infections, therefore pulse oxymetry is desirable for identification of hypoxemia.

Keywords

predictors --- hypoxemia --- alri --- children.


Article
Clinical predictors of hypoxemia in children with acute lower respiratory tract infections
تنبئ السريرية من نقص الأكسجة في الأطفال الذين يعانون من التهابات الجهاز التنفسي السفلي الحادة

Authors: Dlair A. K.Chalabi --- Kawes O. Zangana
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2011 Volume: 15 Issue: 3 Pages: 24-29
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

Loading...
Loading...
Abstract

Background and objectives: Acute lower respiratory tract infections (ALRI) are the leading cause of morbidity and mortality among children in developing countries. Pulse oxymetry is a simple technique to determine the oxygen saturation. However, the detection of hypoxemia by use of pulse oxymetry is not available in most situations in developing countries; in addition, the availability of supplementary oxygen is inadequate. It is therefore, important to identify hypoxemia accurately in children by using of clinical signs. The objective of this study was to find out the clinical signs and symptoms that predict hypoxemia in acute lower respiratory tract infection.Methods: A well matched case control study was performed on 120 children from 2 months to 5 years of age admitted with acute lower respiratory tract infections (ALRI) to the emergency department of Raparin Pediatric Teaching Hospital -Erbil, from 1st January 2009 to 1st April 2010.Clinical symptoms and signs were recorded .Hypoxemia was defined as oxygen saturation less than 95%. A portable oxymeter was used to measure oxygen saturation with an appropriately sized sensor on the finger or the toe. The reading was taken while the child was breathing room air. The clinical symptoms and signs to predict the presence of hypoxemia were evaluated.Results: Sixty (50%) children were hypoxemic. The median O2 saturation was 91.2%with a range of 72-93.8%. Physical signs including intercostal and subtotal retractions, supraclavicular recessions, grunting, nasal flaring, cyanosis, head nodding, were statistically associated with hypoxemia.Conclusion: None of the clinical features either alone or in combinations has sufficient sensitively and specificity to predict hypoxemia in children with acute lower respiratory tract infections, therefore pulse oxymetry is desirable for identification of hypoxemia.


Article
The incidence of hypoxemia due to malposition of double lumen endotracheal tube during one lung ventilation
نقص الأوكسجين بالدم الناتج عن اختلاف وضعيه أنبوب التخدير المزدوج خلال تهويه رئه واحده

Author: Osamah H. Al-hassani أسامه حيدر الحسني
Journal: Journal of the Faculty of Medicine مجلة كلية الطب ISSN: PISSN: 00419419 / EISSN: 24108057 Year: 2014 Volume: 56 Issue: 2 Pages: 157-161
Publisher: Baghdad University جامعة بغداد

Loading...
Loading...
Abstract

Background: Oxygenation during one lung ventilation (OLV) can be affected by positioning of Double lumen endobronchial tube (DLT). Mal position can occurs following intubation and moving the patient to the lateral decubitus position.Objectives: To study the relation of hypoxemia to mal position of double lumen endo bronchial tube after patient positioning in lateral decubitus position and during one lung ventilation. The use of fiber-optic scope in detecting the mal position and correcting it is illustrated. Methods: A study of 80 patients with ASA physical status I-II patients about to have elective thoracic operations. The intubation of the trachea was done with a left sided DLT, then checked clinically by auscultation and with use of fiber-optic scope and this done after patient positioning and during OLV. Oxygen saturation was measured by non invasive pulse oxy meter. IF oxygen saturation below 92 % (10.6kpa) 80 mmHg is detected, the DLT position must be checked and positive end expiratory pressure (PEEP), oxygen insufflations or (continuous positive airway pressure). CPAP or total lung ventilation (TLV) was tried if needed.Result: Misplacement of DLT was found in 28 patients (35%) after patient positioning and in 24 patients (30%) during OLV. Patients who had malpostion of DLT after placing the patients in lateral decubitus position had a greater incidence of malposition of DLT in OLV (64%). The application PEEP to the dependent lung, CPAP or oxygen insufflations to the upper lung or brief periods of TLV were applied in 28 patients.Conclusion: Patients who have mal position of DLT in lateral position had more incidence of hypoxemia and DLT mal position in OLV and mostly require intervention with use of fiber-optic bronchoscopy which is mandatory for detecting and correcting the mal position. Keyword: Mal position tube, hypoxemia, double lumen endobronchial tube, one lung ventilation

ألمقدمه :-جريان الأوكسجين خلال التهوية لرئة واحده يتأثر كثيرا بوضعيه أنبوب التخدير المزدوج وبصوره خاصة عن تغيير وضع المريض إلى الوضع الجانبي .الهدف من البحث:- تسليط الضوء على نقص الأوكسجين المرتبط بتغير وضعيه أنبوب التخدير المزدوج وبصوره خاصة عند تحريك المريض وتحويله الى الوضع الجانبي و إثناء التهوية لرئة واحدة كذلك يظهر البحث أهميه ناطور القصبات الليفي لكشف تغير وضع أنبوب التخدير وإعادته إلى الوضع الصحيح الطبيعي .طرق البحث :- يدرس الباحث حالة ثمانين مريضا وضع لهم أنبوب التخدير المزدوج تمهيدا لإجراء عمليات فتح الصدر وكيفيه تدقيق الوضع الصحيح للأنبوب إثناء بدء تخدير المريض ثم بعد تغيير وضعه الى الوضع الجانبي واستعمال طريقه تهويه رئة واحده واكتشاف اى اضطراب او انخفاض في النسبة المئوية للأوكسجين الواصل للمريض واستعمال ناطور القصبات الليفي لاكتشافه وتصحيحه .النتائج :- يتوصل الباحث الى ان حوالي35% من المرضى حصل عندهم تغير في وضع الانبوب المزدوج للتخد ير بعد تغيير وضع المريض إلى الوضع الجانبي و حوالي 30% عند استعمال طريقه تهويه رئه واحده .ألخاتمه :-يتوصل الباحث إلى أن المرضى اللذين يتغير عندهم وضعية انبوب التخدير المزدوج إثناء تحريكهم الى الوضع الجانبي هم أكثر عرضه لنقص النسبة المئوية للأوكسجين بالدم وبصوره خاصة عند تهويه رئة واحده مما يستوجب رد فعل سريع لتصحيح ذلك باستعمال ناطور القصبات الليفي الذي له الدور المتميز في كشف وتصحيح الوضع .مفاتيح الكلمات:- الوضع غير الصحيح لأنبوب التخدير , نقص الأوكسجين بالدم,أنبوب التخدير المزدوج, تهوية رئة واحدة

Listing 1 - 4 of 4
Sort by
Narrow your search

Resource type

article (4)


Language

English (4)


Year
From To Submit

2014 (1)

2011 (1)

2009 (1)

2008 (1)