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Dyspnea in Children: What is driving it and how to approach it

Larry C Lands1

  • 1Pediatric Respiratory medicine, Montreal Children's Hospital-McGill University, Health Centre.

Paediatric Respiratory Reviews
|April 24, 2017
PubMed

Insights

This article outlines a child-friendly approach to assessing dyspnea in children. It emphasizes history, physical exams, and quantification to identify causes and guide treatment for pediatric respiratory distress.

Area of Science:

  • Pediatric Pulmonology
  • Clinical Medicine

Background:

  • Dyspnea in children significantly impacts physical and psychosocial well-being.
  • Accurate assessment of pediatric dyspnea is crucial for effective management.

Purpose of the Study:

  • To provide a structured clinical framework for evaluating dyspnea in children.
  • To guide healthcare providers in history taking, physical assessment, and diagnostic choices.

Main Methods:

  • Detailed history taking focusing on the quality and magnitude of dyspnea.
  • Comprehensive physical examination tailored to pediatric respiratory assessment.
  • Guidance on child-friendly methods for quantifying dyspnea.
  • Recommendations for selecting and utilizing appropriate laboratory investigations.

Main Results:

  • A systematic approach facilitates the identification of the underlying cause of pediatric dyspnea.
  • Quantifying dyspnea in a child-friendly manner improves assessment accuracy.
  • Targeted investigations based on clinical findings lead to effective treatment.

Conclusions:

  • A structured clinical framework is essential for managing pediatric dyspnea.
  • Integrating history, physical exam, quantification, and investigations optimizes patient care.
  • This approach aids in determining the cause and guiding treatment for children experiencing dyspnea.

Keywords:
Breathing discomfortasthmaexerciseneurocognition

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