Pulmonary complications in children with neurodisability

Robert Hughes Warren1, Sheila Marie Horan

  • 1University of Arkansas for Medical Sciences and Pulmonary Medicine Section, Arkansas Children's Hospital, 800 Marshall Street, Little Rock, AR 72202, USA. WarrenRobertH@uams.edu

Insights

This study addresses chronic pulmonary disease in children with neurodisability, offering primary care physicians guidance on assessment, diagnosis, and management strategies to prevent acute illness and support families.

Area of Science:

  • Pediatric Pulmonology
  • Neurodevelopmental Disabilities
  • Primary Care Medicine

Background:

  • Children with neurodisability often face complex chronic pulmonary disease.
  • Effective management is crucial for preventing acute respiratory events and improving quality of life.

Purpose of the Study:

  • To provide primary care physicians with a comprehensive overview of chronic lung disease in children with neurodisability.
  • To outline diagnostic approaches and management strategies for this patient population.

Main Methods:

  • Review of physical assessment techniques for evaluating lung disease.
  • Discussion of relevant diagnostic tests for chronic respiratory conditions.
  • Presentation of evidence-based management and therapy options.

Main Results:

  • Established guidelines for physical assessment and diagnostic testing.
  • Detailed respiratory management plans to stabilize chronic pulmonary disease and prevent exacerbations.
  • Information on mechanical ventilatory support for imminent ventilatory failure.

Conclusions:

  • Integrated management strategies are essential for children with neurodisability and chronic pulmonary disease.
  • Focus on family routine and stress reduction aids in daily living.
  • Timely intervention, including ventilatory support, can prevent severe outcomes.

Related Concept Videos

Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.01:25

Chronic Obstructive Pulmonary Disease-III: Symptoms and Complications.

Understanding the variety of primary symptoms and systemic complications that characterize chronic obstructive pulmonary disease (COPD) is crucial for healthcare professionals.
Symptoms of COPD can be classified as primary or systemic. Primary symptoms relate to reduced airflow, while systemic or extrapulmonary symptoms relate to COPD's broader impact on the body.
Primary Symptoms of COPD:
Pneumonia III: Complications and Assessment01:30

Pneumonia III: Complications and Assessment

Pneumonia poses the potential for numerous complications that warrant consideration. These complications include the following:
Other Pulmonary Disorders01:17

Other Pulmonary Disorders

Respiratory disorders encompass a range of conditions with varying levels of severity. Asthma, marked by chronic airway inflammation and hypersensitivity, is one such condition. It can lead to airway obstruction due to factors like bronchial spasms, mucosal edema, increased mucus secretion, or epithelial damage. Asthma triggers are diverse, ranging from allergens to emotional upset, and treatment focuses on both immediate relief through bronchodilators and long-term inflammation suppression.
Acute Respiratory Failure-III01:30

Acute Respiratory Failure-III

Hypercapnic respiratory failure, also known as Type 2 or ventilatory respiratory failure, is a severe condition characterized by the body's inability to effectively remove carbon dioxide (CO2) from the bloodstream. It leads to an arterial CO2 pressure (PaCO2) exceeding 45 mmHg and a blood pH above 7.35. This situation indicates that the body's ventilatory demand, or the ventilation needed to maintain normal PaCO2 levels, surpasses its supply or the maximum gas flow achievable without causing...
Pulmonary Cycle: Exhalation01:17

Pulmonary Cycle: Exhalation

In terms of human respiration, the act of expelling air, known as exhalation (or expiration), operates on the principle of pressure gradients. During expiration, the pressure within the lungs exceeds that of the surrounding atmosphere. Under normal conditions, quiet breathing involves passive exhalation and is free of muscular contractions. This is because the exhalation process is driven by the natural elastic recoil of the lungs and chest wall, both of which have an inherent tendency to...
Pneumonia V: Nursing management and Prevention01:30

Pneumonia V: Nursing management and Prevention

Nursing management of pneumonia involves promoting airway patency, facilitating rest and conserving energy, encouraging fluid intake, maintaining nutrition, and educating patients.
The nurse must practice strict medical asepsis and adhere to infection control guidelines to minimize healthcare-associated infections.
Enhance airway patency
Position the patient correctly to facilitate drainage of the affected lung segments. Manual or mechanical percussion and vibration can also be employed.