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A Model of Self-limited Acute Lung Injury by Unilateral Intra-bronchial Acid Instillation
Published on: August 30, 2019
[Approach in acute respiratory tract disfunction]
1Hospital Geral de Bonsucesso, Rio de Janeiro, RJ, Brazil.
Insights
Pediatric emergency departments frequently see acute respiratory dysfunction. Prompt diagnosis and management of these conditions, primarily infectious or inflammatory, are crucial to prevent severe outcomes.
Area of Science:
- Pediatrics
- Emergency Medicine
- Respiratory Medicine
Background:
- Acute respiratory dysfunction is a common presentation in pediatric emergency departments.
- Prompt diagnosis and management are essential to reduce morbidity and mortality.
Purpose of the Study:
- To review current diagnostic and therapeutic strategies for pediatric acute respiratory dysfunction.
- To highlight clinical and epidemiological features aiding differential diagnosis.
Main Methods:
- Comprehensive literature review of the past 20 years.
- Databases searched include MD Consult, Medline, and Lilacs.
Main Results:
- Infectious and inflammatory causes are predominant in acute pediatric respiratory dysfunction.
- Diagnosis often relies on history, physical examination, and chest X-ray, with other tests sometimes needed.
Conclusions:
- Effective management of pediatric respiratory emergencies requires specialized skills and knowledge.
- Pediatricians must be adept at distinguishing between various respiratory diseases and assessing their severity.
Abstract:
OBJECTIVE: To present a review of the current diagnostic and therapeutic approach to the major conditions found in pediatric emergency department, which course with acute respiratory tract disfunction, stressing some clinical and epidemiological characteristics that are useful to the pediatrician in the differential diagnosis.METHODS: Outstanding articles related to the subject were selected after literature review of the last 20 years, using Md Consult, Medline and Lilacs databases.RESULTS: Many diseases can produce respiratory disfunction. Taking into account only those with acute symptoms, infectious and/or inflammatory causes predominate. History, examination findings and at least a chest X-ray are almost always sufficient for the diagnosis, but, sometimes other complimentary tests are necessary.CONCLUSIONS: If not properly treated, acute respiratory emergencies can result in significant morbidity and mortality. Any pediatrician taking part in an emergency team has to obtain respiratory management skills and knowledge concerning distinctive aspects and severity estimation of the several respiratory diseases.
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