Hadžić, Devleta; Mladina, Nada; Prašo, Mirsada; Brkić, Selmira; Čolić, Belkisa
December 2008
Acta Medica Saliniana;2008, Vol. 37 Issue 2, p151
Academic Journal
Introduction: Syndrome of difficulties in breathing has an important position in pathology of childhood. It is manifested as in diseases of respiratory tract so in series of diseases and pathological conditions linked to other organs and systems. Patients and Methods: Patient with difficulties in breathing develops clinical presentation of respiratory distress, which is characterized with many different clinical symptoms and signs. Acute respiratory failure with discrepancy between utility of oxygen and produces of carbon dioxide is the last point of respiratory distress, so the primary care of clinician is quickly recognition of abnormal blood gasses values. Early identification and appropriate treatment of incoming respiratory failure is essential for good prognosis and decreasing long term complications. The aim of this paper was to analyze retrospectively histories of diseases of children treated at the Department of Intensive care Pediatrics clinic in Tuzla and to establish type and frequency of diseases characterized with syndrome of difficult breathing, frequency of non-respiratory diseases in etiology of this syndrome, and to estimate correlation of clinical findings in admission with pulse oximetry and blood gases findings. Analysis was based on population of patients treated at the Department of Intensive care unit Pediatrics clinic in Tuzla with recorded, clinically manifested syndrome of difficult breathing. Patient selection was performed consecutively from January 1st till 31st December 2006. All selected patients were from Tuzla Canton. Source of data for this investigation was Admission protocol for Pediatric Clinics and Intensive care unit protocol and personal histories of children treated at the Intensive care unit of Pediatric Clinics January 1st till 31st December 2006. Method of work was retrospective study which analyzed anamnestic data, clinical and laboratory findings, therapeutical procedures and length of hospitalization at the Intensive care unit and outcome of the treatment. Results: The results of investigation demonstrated that in anlized period (from January 1st till 31st December 2006) in Pediatric Clinic, Tuzla a total number of 3932 children were treated, out of them 767 (19.5%) children were treated at the Department of Intensive care unit. Syndrome of difficulties in breathing was recorded in 608 patients (79.3%). The biggest number of children in this group were treated for syndrome of broncho-obstruction, total of 332 children (54.6%). Other large group was neurological disorders: convulsions and epilepsy, total number of 125 patients (20.6%). Out of total number of patients 11 (1.8%) suffered from complete failure of breathing and required mechanical ventilation support. Out of this number 10 of them were chronic ill patients. The most common causal factor for respiratory insufficiency in strict meaning of this word and endangering respiratory arrest was epileptic attack and recidivated pneumonia. Discussion: Clinical findings, pulse oximetry and blood gases analysis were in correlation and in favor of hypoxemic type of respiratory insufficiency. Results of gas analysis for group of neurological disorders and poisoning spoke in favor of acute hypercapnic respiratory insufficiency. Clinical parameters for dyspnea were absent and finding of pulse oximetry monitored isolated for these disorders demonstrated partly unreliable.


Related Articles

  • Carbon Dioxide-Induced Emotion and Respiratory Symptoms in Healthy Volunteers. Colasanti, Alessandro; Salamon, Ewa; Schruers, Koen; van Diest, Rob; van Duinen, Marlies; Griez, Eric J. // Neuropsychopharmacology;Dec2008, Vol. 33 Issue 13, p3103 

    A number of evidences have established that panic and respiration are closely related. Clinical studies indicated that respiratory sensations constitute a discrete cluster of panic symptoms and play a major role in the pathophysiology of panic. The aim of the present study was to explore the...

  • Psychogenic nonepileptic seizures as a manifestation of psychological distress associated with undiagnosed autism spectrum disorder. Miyawaki, Dai; Iwakura, Yoshihiro; Seto, Toshiyuki; Kusaka, Hiroto; Goto, Ayako; Okada, Yu; Asada, Nobuyoshi; Yanagihara, Erika; Inoue, Koki // Neuropsychiatric Disease & Treatment;Jan2016, Vol. 9, p185 

    Psychogenic nonepileptic seizures (PNES) are observable changes in behavior or consciousness that are similar to epileptic seizures but are not associated with electrophysiologic changes. PNES occur in children with underlying psychological distress and are especially frequent in those with...

  • Incorporating psychological approaches into routine paediatric venepuncture. Duff A J A // Archives of Disease in Childhood;Oct2003, Vol. 88 Issue 10, p931 

    Studies of paediatric procedural distress have flourished over the past two decades, with psychological intervention strategies showing consistently high efficacy in reducing pain and fear. This review concentrates briefly on the acquisition and treatment of fear, arguing that what is witnessed...

  • Hyperventilation in Panic Attacks: Ambulant Monitoring of Transcutaneous Carbon Dioxide. Hibbert, George; Pilsbury, David // British Journal of Psychiatry;Jul88, Vol. 153, p76 

    Transcutaneous carbon dioxide monitoring has been used to investigate directly the frequency and role of hyperventilation during naturally occurring panic attacks in freely ambulant volunteers and patients. Illustrative preliminary data from healthy subjects and from four patients with panic...

  • Carbon dioxide rebreathing during non-invasive ventilation delivered by helmet: a bench study. Mojoli, Francesco; Iotti, Giorgio A.; Gerletti, Maddalena; Lucarini, Carlo; Braschi, Antonio // Intensive Care Medicine;Aug2008, Vol. 34 Issue 8, p1454 

    To define how to monitor and limit CO2 rebreathing during helmet ventilation. Physical model study. Laboratory in a university teaching hospital. We applied pressure-control ventilation to a helmet mounted on a physical model. In series 1 we increased CO2 production (V'CO2) from 100 to 550...

  • Respiratory Ventilation and Carbon Dioxide Levels in Syndromes of Depression. Damas Mora, J.; Grant, L.; Kenyon, Patricia; Patel, M. K.; Jenner, F. A. // British Journal of Psychiatry;Nov76, Vol. 129, p457 

    Summary. The breathing rate and PCO2 in end-tidal air have been studied in controls and in patients with endogenous depression (retarded and non-retarded), with neurotic depression, and with schizophrenia. It has been shown that breathing rate goes up and PCO2 down in non-retarded and neurotic...

  • Distress or Illness? A Study of Psychological Symptoms after Myocardial Infarction. Lloyd, G. G.; Cawley, R. H. // British Journal of Psychiatry;Feb83, Vol. 142, p120 

    Three groups of patients were identified during a study of men who had recently suffered an acute myocardial infarction: those with psychiatric morbidity antedating the infarction, those with psychiatric morbidity immediately following the infarction and those with no significant...

  • Five to watch.  // Canadian Family Physician;May2008, Vol. 54, p663 

    The article reports that a group of Canadian and American researchers studied almost 300 patients in the prodormal stage to determine early warning signals for the development of psychosis. According to the researchers, the risk of conversion to psychosis was 35 percent during the study period...

  • Pregabalin, the lidocaine plaster and duloxetine in patients with refractory neuropathic pain: a systematic review. Plested, Melanie; Budhia, Sangeeta; Gabriel, Zahava // BMC Neurology;2010, Vol. 10, p116 

    Background: Patients frequently fail to receive adequate pain relief from, or are intolerant of, first-line therapies prescribed for neuropathic pain (NeP). This refractory chronic pain causes psychological distress and impacts patient quality of life. Published literature for treatment in...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics