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2015 | 09 | 1 |

Tytuł artykułu

The airway obstruction - important abrupt condition for pediatrics

Treść / Zawartość

Warianty tytułu

Języki publikacji

EN

Abstrakty

EN
The ability of fast response in case of increasing health problems of a child which lead directly to life-threatening situations is a necessary condition for creating opportunity of child’s survival until it will be transported to intensive care unit, where it will be provided with care by a specialist. In case of healthy children the most common cause of acute respiratory failure is obstruction of upper respiratory tract. There is an enormous variety of causes of upper airway obstruction, but the most important are the result of congenital defects, acute inflammation, anaphylactic reactions, foreign body aspiration and injuries. Consequence of the hypoventilation resulting from significant impediment of airflow through the obstructed airways is impaired gas exchange in the lungs. This leads to the increasing hypoxemia (PaO 2 <60 mmHg) and hypercapnia (PaCO2> 45 mmHg). This condition is called the total respiratory failure. The persistence of hypoventilation leads to hypoxia of vital organs (heart muscle, brain), increased anaerobic metabolism, acidosis, and inevitably to cardiac arrest as a result of homeostasis disorders. Respiratory failure is defined as acute when developing suddenly and is potentially reversible. We can find such a situation in the fast-increasing stenosis of the larynx. Symptoms of severe dyspnoea occur in a short time, but can be interrupted by an effective airway patency. Acute respiratory failure is a state of direct threat to life, which is why it is crucial to give a prompt aid to the sick child. The aim of this paper is to discuss the signs and symptoms, knowledge of which is essential for rapid identification and initial differentiation of the causes of acute upper airway obstruction in children. The principles of first-aid for children with acute respiratory failure and above all the description of life-saving procedures will be presented.

Wydawca

-

Rocznik

Tom

09

Numer

1

Opis fizyczny

p.18-22,ref.

Twórcy

  • Department of Human Anatomy, Medical University of Lublin. Lublin, Poland
  • Pope John Paul II State School of Higher Education in Biala Podlaska, Sidorska 95/97 Street, 21-500 Biala Podlaska, Poland
  • Anatomic Group at the Chair and Department of Human Anatomy, Medical University of Lublin, Lublin, Poland
autor
  • Anatomic Group at the Chair and Department of Human Anatomy, Medical University of Lublin, Lublin, Poland
autor
  • Anatomic Group at the Chair and Department of Human Anatomy, Medical University of Lublin, Lublin, Poland
autor
  • Anatomic Group at the Chair and Department of Human Anatomy, Medical University of Lublin, Lublin, Poland
autor
  • Anatomic Group at the Chair and Department of Human Anatomy, Medical University of Lublin, Lublin, Poland
autor
  • Pope John Paul II State School of Higher Education in Biala Podlaska, Sidorska 95/97 Street, 21-500 Biala Podlaska, Poland
autor
  • Pope John Paul II State School of Higher Education in Biala Podlaska, Sidorska 95/97 Street, 21-500 Biala Podlaska, Poland
  • Department of Biophysics, Medical University of Lublin, Lublin, Poland

Bibliografia

  • 1. Bailey M. (2003), Naczyniak podgłośniowy. Magazyn Otolaryngologiczny, Supl. IV: 25-26.
  • 2. Baker S., Kelchner L., Weinrich B. et al. (2006), Pediatric laryngotracheal stenosis and airway reconstruction: a review of voice outcomes, assessment, and treatment issues. Journal of Voice, 4: 632-641.
  • 3. Daniel S. (2006), The Upper Airway: Congenital Malformations. Pediatric Respiratory Reviews, 78: 260-263.
  • 4. Graczyńska D. (2007) (red.), Otolaryngologia dziecięca. Medicapress. Bielsko Biała, 355-416.
  • 5. Kwong K., Hoa M., Coticchia J. (2007), Reccurent cro-up presentation, diagnosis and management. Am. J. of Otolarytngology, 28: 401-407.
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  • 7. Maciejewski R., Torres K. (2007), Anatomia czynnościowa – podręcznik dla studentów pielęgniarstwa, fizjoterapii, ratownictwa medycznego, analityki medycznej i dietetyki. Wydawnictwo Czelej, Lublin
  • 8. Oleniacz T. (2008), Duszność wdechowa u dzieci. Lekarz, 12:59-66.
  • 9. Szczeklik A. (2010) (red.), Choroby wewnętrzne. Medycyna Praktyczna, Kraków.
  • 10. Szenborn L., Pejcz J., Szymański H. i wsp. (2004), Przyczyny ostrej duszności krtaniowej u dzieci - wyniki prospektywnych wieloośrodkowych obserwacji. Przew. Lek., 5:457-462.
  • 11. Szreter T. (2011), Krikotyroidotomia przezskórna. Med. Prakt. Chir., 5: 86-90.
  • 12. Yuen H-W., Kun-Kiaang Tan H., Balakrishnan A. (2006), Synchronous airway lesions and associated anomalie in children with laryngomalacia evaluated with rigid endoscopy. I. J. of Pediatric Otholaryngology, 70: 1779-1784.
  • 13. Zawadzka-Glos L., Jakubowska A., Frackiewicz M. et al. (2013), External laryngeal injuries in children – comparison of diagnostic methods. I. J. of Pediatric Otorhinolaryngology, 77: 1582–1584.
  • 14. Zielińska M. (2010), Postępowanie w wybranych stanach nagłych u dzieci – wstrząs anafilaktyczny. Klin. Pediatr., 5: 5082-5084.

Typ dokumentu

Bibliografia

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