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atelectasis children

Satoshi Adachi, Hiroshi Nakano, Hiroshi Odajima, Chikako Motomura, Yukiko Yoshioka
BACKGROUND: Chest auscultation is commonly performed during respiratory physical therapy (RPT). However, the changes in breath sounds in children with atelectasis have not been previously reported. The aim of this study was to clarify the characteristics of breath sounds in children with atelectasis using acoustic measurements. METHOD: The subjects of this study were 13 children with right middle lobe atelectasis (3-7 years) and 14 healthy children (3-7 years). Lung sounds at the bilateral fifth intercostal spaces on the midclavicular line were recorded...
2016: PloS One
Radhakrishna Ramchandani, Ravindra Kumar Dewan, Sarita Ramchandani
Tracheobronchial foreign body aspiration (FBA) is a very common and lethal problem among children. It can easily be diagnosed with a typical history of choking crisis. Clinical examination and radiology play a secondary role in diagnosis. Acute choking episode may lead to death or else to serious sequels such as bronchiectasis, atelectasis, and recurrent pneumonia. Here, we report an interesting case of bronchiectasis in a young female initially thought to be a consequence of pulmonary tuberculosis, who was subsequently found to have retained foreign body in the left lower lobe lung which was the actual cause of her symptoms...
July 2016: Lung India: Official Organ of Indian Chest Society
Lu Gong, Lan Hu
OBJECTIVE: To investigate the value of electronic bronchoscopy in the etiological diagnosis and treatment of pediatric intensive care patients with difficult ventilator weaning. METHODS: A retrospective analysis was performed for the clinical data of 92 pediatric intensive care patients with difficult ventilator weaning and underwent electronic bronchoscopy. RESULTS: Among all the 92 children, the most common underlying disease was respiratory system disease (39 children)...
August 2016: Zhongguo Dang Dai Er Ke za Zhi, Chinese Journal of Contemporary Pediatrics
Stephen Morgan, Christoph P Hornik, Niyati Patel, Walter L Williford, David A Turner, Ira M Cheifetz
BACKGROUND: Continuous high-frequency oscillation (CHFO) creates a pressure gradient in the small airways that accelerates expiratory flow. The intended use of CHFO therapy is to facilitate secretion removal and treat atelectasis. Our objective was to assess the feasibility, safety, and efficacy of CHFO in the mechanically ventilated pediatric population. METHODS: After institutional review board approval, we retrospectively reviewed medical records of mechanically ventilated children treated with CHFO (the MetaNeb system) at our institution from July 1, 2007 through August 31, 2012...
August 16, 2016: Respiratory Care
Verónica Giubergia, Florencia Alessandrini, Carolina Barrias, Carlos Giuseppucci, Aixa Reusmann, Marcelo Barrenechea, Claudio Castaños
BACKGROUND AND OBJECTIVE: Pneumonectomy (PNE) is a procedure infrequently performed in children. A high morbidity/mortality rate associated with PNE has been described. Few series have been published in the last 15 years. Risk factors associated with morbidity/mortality after PNE were evaluated. Indications, course, survival and complications of PNE in children were also analized. METHODS: In a case series of 51 children who underwent PNE, death within 30 days of surgery, pneumonia, empyema, sepsis, adult respiratory distress syndrome, bronchopleural fistula, bleeding, pneumothorax and post-PNE syndrome were considered major morbidities...
August 10, 2016: Respirology: Official Journal of the Asian Pacific Society of Respirology
Jennifer H Chao, Raymond Chou-Jui Lin, Shashidhar Marneni, Shreya Pandya, Sana Alhajri, Richard Sinert
BACKGROUND: An abnormal Chest-X-ray (CXR) inconsistent with simple bronchiolitis is found in 7%-23% of cases. Despite national guidelines stating "current evidence does not support routine radiography in children with bronchiolitis"; the use of CXR in these patients remains high. Inappropriate use of CXR not only exposes children to excess radiation, but also increases medical costs. The majority of the time, CXRs are obtained to diagnose or rule-out pneumonia. We aim to provide an evidence-based approach defining the utility of CXR in bronchiolitis for the diagnosis and treatment of bacterial pneumonia...
July 18, 2016: Academic Emergency Medicine: Official Journal of the Society for Academic Emergency Medicine
J R Shi, J R Liu, H M Li, W Wang, S Y Zhao
OBJECTIVE: To investigate the clinical features and therapy of persistent bacterial bronchitis (PBB). METHOD: A retrospective review of 31 patients with PBB from Octorber 2010 to May 2014 in Department 2 of Respiratory Diseases in Beijing Children's Hospital was undertaken. RESULT: (1) The patients (17 boys and 14 girls) were 6 months to 3 years old. The main complaint was chronic wet cough (>4 weeks); 13 cases had fever and 25 cases had wheezing...
July 2016: Zhonghua Er Ke za Zhi. Chinese Journal of Pediatrics
Luigi Arcieri, Paola Serio, Raffaella Nenna, Marco Di Maurizio, Roberto Baggi, Nadia Assanta, Riccardo Moschetti, Bruno Noccioli, Lorenzo Mirabile, Bruno Murzi
OBJECTIVES: We reviewed the role of posterior aortopexy for left mainstem bronchus compression in infants and children. METHODS: Eighteen children with respiratory symptoms were enrolled between 2005 and 2015 for surgical decompression of the left mainstem bronchus. The children were managed from diagnosis to follow-up by a dedicated tracheal team. Primary outcomes were the complete relief of symptoms or improvement with respect to preoperative clinical status. RESULTS: The median age was 4 years (0...
July 5, 2016: Interactive Cardiovascular and Thoracic Surgery
Patricio Varela, Luca Pio, Michele Torre
Primary tracheobronchial tumors are rare lesions that can be benign or malignant, with different location along the airway tree. Symptoms may include wheezing, chronic pneumonia, asthma, chest pain, recurrent cough, atelectasis, haemoptysis, and weight loss. Due to the heterogeneity of symptoms, diagnosis can be difficult and the airway involvement can lead progressively to a bronchial or tracheal obstruction. Due to the rarity of primary tracheobronchial tumors in children, there are not any oncological guidelines on pre-operative work-up, treatment, and follow-up...
June 2016: Seminars in Pediatric Surgery
Kelsey A Miller, Amir Kimia, Michael C Monuteaux, Joshua Nagler
BACKGROUND: Correct positioning of the endotracheal tube (ETT) during emergent pediatric intubations can be challenging, and incorrect placement may be associated with higher rates of complications. OBJECTIVES: The aims of this study are to: 1) assess the prevalence of clinically undetected misplaced ETTs after intubation in the pediatric emergency department; 2) identify predictors of ETT misplacement; and 3) evaluate for any association between intubation-related complications and ETT position...
July 2016: Journal of Emergency Medicine
Tutku Soyer, Şule Yalcin, Nagehan Emiralioğlu, Ebru Arik Yilmaz, Ozge Soyer, Diclehan Orhan, Deniz Doğru, Bülent Enis Sekerel, Feridun Cahit Tanyel
AIM: Plastic bronchitis (PB) is a rare disorder characterized by formation of bronchial casts (BC) in the tracheobronchial tree with partial or complete airway obstruction. Although lysis of casts with several fibrinolytic agents has been reported, removal of BC with bronchoscope provides better clearance of airways. A retrospective study was performed to evaluate the use of serial rigid bronchoscopy (RB) in the treatment of PB in children. PATIENTS AND METHODS: Between 2011 and 2015, children with partial or complete airway obstruction with PB were evaluated for age, gender, underlying disease, clinical findings, results of bronchoscopic interventions and histopathologic findings...
October 2016: Journal of Pediatric Surgery
Leonie A Tepper, Daan Caudri, Adria Perez Rovira, Harm A W M Tiddens, Marleen de Bruijne
OBJECTIVE: Bronchiectasis is an important component of cystic fibrosis (CF) lung disease but little is known about its development. We aimed to study the development of bronchiectasis and identify determinants for rapid progression of bronchiectasis on chest CT. METHODS: Forty-three patients with CF with at least four consecutive biennial volumetric CTs were included. Areas with bronchiectasis on the most recent CT were marked as regions of interest (ROIs). These ROIs were generated on all preceding CTs using deformable image registration...
April 23, 2016: European Radiology
Han Zhang, Yaser Alrajhi, Hamdy El-Hakim
OBJECTIVES: The objectives of this study was to determine variables associated with rVT insertions for rAOM and/or OME in otherwise healthy children. METHODS: This was designed as a retrospectively controlled cohort study. Patients were identified from a prospectively collected surgical database. Eligible subjects were those who had undergone rVT and a consecutive concurrent control group who received only one ventilation tube (VT). Exclusion criteria included craniofacial abnormalities and syndromes...
May 2016: International Journal of Pediatric Otorhinolaryngology
Marta Roqué i Figuls, Maria Giné-Garriga, Claudia Granados Rugeles, Carla Perrotta, Jordi Vilaró
BACKGROUND: This Cochrane review was first published in 2005 and updated in 2007, 2012 and now 2015. Acute bronchiolitis is the leading cause of medical emergencies during winter in children younger than two years of age. Chest physiotherapy is sometimes used to assist infants in the clearance of secretions in order to decrease ventilatory effort. OBJECTIVES: To determine the efficacy of chest physiotherapy in infants aged less than 24 months old with acute bronchiolitis...
2016: Cochrane Database of Systematic Reviews
Ozge Soyer, Cinar Ozen, Ozlem Cavkaytar, Cagri Senyücel, Yildiz Dallar
BACKGROUND: Although right middle lobe (RML)-atelectasis of the lungs is a common complication of asthma, the relevant data is limited. The aim of this study is to define the characteristics of RML atelectasis in asthma during childhood. METHODS: Children with asthma who had recently developed RML atelectasis were included; anti-inflammatory medications, clarithromycin, and inhaled salbutamol were prescribed, chest-physiotherapy (starting on the sixth day) was applied...
July 2016: Allergology International: Official Journal of the Japanese Society of Allergology
Guo-Qiang Zhang, Jing Ye, Jun-Yong Chen, Wei Liu, Kai-Can Cai
OBJECTIVE: To observe the effect of one lung ventilation (OLV) preconditioning on perioperative oxygenation during pediatric video-assisted thoracoscopic surgeries (VATS). METHODS: A total of 171 children aged 5 days to 11 years underwent VATS for empyema dissection and abscess excisions (n=55), mediastinal tumor resection (n=34), repair of the diaphragmatic hernia or diaphragmatic plication (n=21), pulmonary lobectomy or biopsy (n=43), or esophageal disease (n=18)...
October 2015: Nan Fang Yi Ke da Xue Xue Bao, Journal of Southern Medical University
Siriporn Phongjitsiri, Jorge Coss-Bu, Curtis Kennedy, Jaime Silva, Jeffrey Starke, Jeanine Graf, Satid Thammasitboon
OBJECTIVES: The Centers for Disease Control and Prevention shifted the focus of surveillance paradigm for adult patients receiving mechanical ventilation, moving from the current standard of ventilator-associated pneumonia to broader complications. The surveillance definitions were designed to enable objective measures and efficient processes, so as to facilitate quality improvement initiatives and enhance standardized benchmark comparisons. We evaluated the surveillance definitions in term of their ability to predict clinical outcomes and ease of surveillance in a PICU...
November 2015: Critical Care Medicine
Ali Güneş, Ünal Uluca, Fesih Aktar, Çapan Konca, Velat Şen, Aydın Ece, Salih Hoşoğlu, Mehmet Ali Taş, Fuat Gürkan
BACKGROUND: A delay in the diagnosis and treatment of tuberculosis meningitis (TBM) may lead to increased mortality and morbidity. The aim of this study was to describe the clinical, radiological and laboratory findings of TBM on a cohort of 185 pediatric patients at a single centre over a 10 year period and to investigate relationship between the stage of the disease. METHODS: The hospital records of 185 TBM children that presented to the Pediatric Clinics of Dicle University Hospital were retrospectively evaluated...
2015: Italian Journal of Pediatrics
Ewa Malinowska, Dabrowska-Kruszewska, Anna Doboszyńska, Michał Stangiewicz, Karol Gugała, Maciej Biernacki
Aspiration of a foreign body occurs rarer in adults than it does in children. Advanced age and swallowing disorders, often caused by neuromuscular diseases, predispose for aspiration. Symptoms due to aspiration are mainly cough and wheezing. However, clinical and radiological symptoms may mistakenly suggest lung cancer. Making a proper diagnosis could be difficult and time consuming. In this study we report a case of a 73-year old woman who has been diagnosed and treated myasthenia gravis for 10 years. The patient manifested chronic cough for over a year, weight loss, lung lesions on chest X-ray and computed tomography images in the form of atelectasis and inflammatory infiltrations...
2016: Advances in Experimental Medicine and Biology
Hui Xu, Yuhong Zhao, Wei Wang, Jinrong Liu, Shunying Zhao
OBJECTIVE: To understand the clinical characteristics of allergic bronchopulmonary aspergillosis (ABPA) so as to diagnose and treat the disease earlier. METHOD: A retrospective study was conducted on ABPA patients diagnosed in the Second Department of Respiratory Medicine, Beijing Children's Hospital Affiliated to Capital Medical University from April 2010 to March 2014. The literature of children's ABPA retrieved from the databases at home and abroad in recent 10 years were analyzed...
July 2015: Zhonghua Er Ke za Zhi. Chinese Journal of Pediatrics
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