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Respiratory distress in adults and paediatrics


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A very informative summary on respiratory distress.

Published in: Health & Medicine
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Respiratory distress in adults and paediatrics

  1. 1. Respiratory distress in adults and paediatrics Presented by Mwadziwana Louis law
  2. 2. Respiratory distress in paediatricsRecession, sub costal, intercostal, suprasternal andsupraclavicular • Areas sucked inward during inspiration, due to pressure changes and lack of thoracic stabilityIncreased respiratory rate (tachypnoea) greater than60bpm • Shallow rapid breathing • Aim is to increase the minute ventilationHead bobbing • Attempt to use accessory respiratory muscles but unable to fixNasal flare • Dilatation of the nostrils using the dilatores naris muscle • Primitive way to entrain more air
  3. 3. Nasal flare
  4. 4. Respiratory distress continuedExpiratory granting(auto PEEP) • Trying to increase intrinsic PEEP and reduce work of breathing • Aim is to increase Functional Residual CapacitySee sawing • forceful contraction of the diaphragm, causes abdomen to pushed out and generates massive negative pressure in thorax, sucking chest wall in.Apnoea • Chid is fatiguing and requires urgent respiratory support and stimulation
  5. 5. Grunting
  6. 6. Respiratory Distress continuedWheezing • A tight, whistling or musical sound heard with each breath may indicate that the air passages may be smaller (tighter), making it harder to breathe.Cyanosis, especially central cyanosis (lipsand tongueStridor • Obstruction of upper airways
  7. 7. Cyanosis
  8. 8. Child in Respiratory Distress
  9. 9. Respiratory distress in adultsTachypnoea respiratory • Respiratory rate greater than 20bpmNasal flaringGruntingDyspnoea and use of accessory muscles tobreathRecessions, subcostal, intercostal, suprasternaland supraclavicularStridorwheezing
  10. 10. Central cyanosis
  11. 11. Respiratory distress
  12. 12. ReferencesBerverly Harden at al, RespiratoryPhysiotherapy, 2009, Edinburgh London NewYork Oxford Philadelphia.