Grunting respirations in infants and children.

Abstract:

:Grunting respirations are recognized as a sign of serious illness in infants and children, but have not been well studied beyond the newborn period. We present three illustrative cases and the results of a descriptive study which elucidates the causes of grunting in infants and children and suggests guidelines for assessing pediatric patients with this symptom. All patients between one month and 18 years of age who presented to the Emergency Department (ED) of The Children's Hospital of Denver during the last five months of 1992 with grunting respirations were prospectively identified, and their charts were retrospectively reviewed. The 51 pediatric patients with grunting respirations (0.3% of all patients seen in the ED) fell into three groups based upon mode of presentation: 1) 55% presented with predominantly respiratory signs and symptoms, and each one had a respiratory or cardiac condition; 2) 25% presented with high fever (greater than 38.5 degrees C) but without respiratory signs and symptoms, and all had an infectious cause (three fourths of them had an invasive bacterial disease); 3) 20% presented with neither fever nor respiratory signs or symptoms and had one of a variety of conditions which appeared to cause pain. Presenting symptoms can guide the selection of tests used to evaluate the infant or child with grunting respirations. Guidelines for evaluation are provided in this report.

journal_name

Pediatr Emerg Care

journal_title

Pediatric emergency care

authors

Poole SR,Chetham M,Anderson M

doi

10.1097/00006565-199506000-00004

subject

Has Abstract

pub_date

1995-06-01 00:00:00

pages

158-61

issue

3

eissn

0749-5161

issn

1535-1815

journal_volume

11

pub_type

杂志文章
  • Comparing Practice Patterns Between Pediatric and General Emergency Medicine Physicians: A Scoping Review.

    abstract:OBJECTIVE:Acutely ill infants and children presenting to the emergency department are treated by either physicians with pediatric emergency medicine (PEM) training or physicians without PEM training, a good proportion of which are general emergency medicine-trained physicians (GEDPs). This scoping review identified pub...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,评审

    doi:10.1097/PEC.0000000000000557

    authors: Chime NO,Katznelson J,Gangadharan S,Walsh B,Lobner K,Brown L,Gawel M,Auerbach M,International Network for Simulation-based Pediatric Innovation, Research, and Education (INSPIRE) IMPACTS Investigators.

    更新日期:2017-04-01 00:00:00

  • Encephalopathy from unintentional donepezil and memantine ingestion.

    abstract::Donepezil and memantine are commonly prescribed antidementia drugs. There is a paucity of literature concerning pediatric ingestions of these drugs. We describe a case of a 2-year-old child who developed encephalopathy after an unintentional ingestion of donepezil and memantine. A 2-year-old girl was found by her fami...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000216

    authors: Thornton SL,Clark RF

    更新日期:2014-09-01 00:00:00

  • Deadly proposal: a case of catecholaminergic polymorphic ventricular tachycardia.

    abstract::Catecholaminergic polymorphic ventricular tachycardia (CPVT) is a rare adrenergically mediated arrhythmogenic disorder classically induced by exercise or emotional stress and found in structurally normal hearts. It is an important cause of cardiac syncope and sudden death in childhood. Catecholaminergic polymorphic ve...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3182360606

    authors: Heiner JD,Bullard-Berent JH,Inbar S

    更新日期:2011-11-01 00:00:00

  • Point-of-Care Ultrasonography for Appendicitis Uncovers Two Alternate Diagnoses.

    abstract::We present two cases of pediatric patients initially presenting with a clinical suspicion of acute appendicitis. In these cases, point-of-care ultrasonography was performed early in the patient's emergency department course, leading to alternate diagnoses. This article highlights a role for point-of-care ultrasound in...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000623

    authors: Kornblith AE,Doniger SJ

    更新日期:2016-04-01 00:00:00

  • Fatal laryngeal injury in an achondroplastic dwarf secondary to airbag deployment.

    abstract::We report the case of an unrestrained driver with achondroplastic dwarfism who suffered a fatal anterior neck injury when her airbag deployed as she rear-ended another vehicle at 30-40 mph. Her short stature and short limbs required her to sit within a handbreadth of the steering wheel, which probably allowed the airb...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:

    authors: Roberts D,Pexa C,Clarkowski B,Morey M,Murphy M

    更新日期:1999-08-01 00:00:00

  • Neonatal seizures: soothing a burning topic.

    abstract::Neonatal seizures are a potentially life-threatening pediatric problem with a variety of causes, such as birth trauma, asphyxia, congenital anomalies, metabolic disturbances, infections, and drug withdrawal or intoxication. Thorough and timely evaluations of such patients are necessary to identify and treat the underl...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3182a62fd6

    authors: Thornton MD,Chen L,Langhan ML

    更新日期:2013-10-01 00:00:00

  • Abusive Head Trauma and a Delay in Presentation for Care.

    abstract:OBJECTIVES:Abusive head trauma (AHT) is the leading cause of death from trauma in children less than 2 years of age. A delay in presentation for care has been reported as a risk factor for abuse; however, there has been limited research on this topic. We compare children diagnosed with AHT to children diagnosed with ac...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000002197

    authors: Kennedy JM,Ma J,Lyden ER,Haney SB

    更新日期:2020-07-15 00:00:00

  • Abnormal computed tomography findings among children with viral gastroenteritis and symptoms mimicking acute appendicitis.

    abstract:OBJECTIVE:To evaluate computed tomography (CT) findings in pediatric patients with viral gastroenteritis who presented with clinical features of acute abdomen. PATIENTS AND METHODS:During 2 seasons of viral gastroenteritis from 2005 to 2007, 302 children with acute gastrointestinal symptoms were admitted to our center...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3181850cc8

    authors: Tajiri H,Kiyohara Y,Tanaka T,Etani Y,Mushiake S

    更新日期:2008-09-01 00:00:00

  • Ketamine Saves the Day: Priapism in a Pediatric Psychiatric Patient.

    abstract::Priapism is an adverse effect of medications used to treat psychiatric disorders. Often, this condition is self-limiting but may require urologic intervention involving aspiration and injection to induce detumescence. A case of a 15-year-old patient with priapism secondary to a long-acting stimulant is presented to de...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000485

    authors: Park DB,Hayden GE

    更新日期:2015-07-01 00:00:00

  • Posttraumatic superior ophthalmic vein thrombosis in a 2 years old.

    abstract::Superior ophthalmic vein thrombosis (SOVT) usually results from inflammatory, infectious, or malignant causes. This case describes a 2-year-old boy with severe prolapsing chemosis and proptosis due to thrombosis of the right superior ophthalmic vein resulting from midfacial and right orbital fractures 1 week after the...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000000066

    authors: Akingbola OA,Shar B,Singh D,Frieberg E,Petrescu M

    更新日期:2014-02-01 00:00:00

  • Smoke inhalation and carbon monoxide poisoning in children.

    abstract::This article reviews the mechanisms of pulmonary injury associated with smoke inhalation and the pathophysiology of carbon monoxide poisoning. In addition, the temporal stages of pulmonary injury and evaluation and treatment of the pediatric patient are discussed. Maintaining a high index of suspicion when treating th...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-198603000-00010

    authors: Parish RA

    更新日期:1986-03-01 00:00:00

  • Frena tears and abusive head injury: a cautionary tale.

    abstract::Tears of the lingual and labial frena have been associated with accidental and nonaccidental injury. Three cases of infants are presented who were evaluated in the hospital with frena tears which were not recognized as manifestations of abuse, discharged home, and subsequently returned with manifestations of severe ab...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3181568039

    authors: Thackeray JD

    更新日期:2007-10-01 00:00:00

  • Are antibiotics necessary for pediatric epididymitis?

    abstract:OBJECTIVES:To determine the percentage of cases of epididymitis in pediatric patients that is of bacterial cause and to identify factors that predict a positive urine culture. METHODS:We conducted a retrospective chart review of patients diagnosed with acute epididymitis or epididymo-orchitis in 1 pediatric emergency ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e31820d647a

    authors: Santillanes G,Gausche-Hill M,Lewis RJ

    更新日期:2011-03-01 00:00:00

  • Procalcitonin Levels in Critically Ill Children With Status Asthmaticus.

    abstract:BACKGROUND:Children with status asthmaticus (SA) often present with fever and are evaluated with chest radiographs (CXRs). In the absence of a confirmatory test for bacterial infection, antibiotics are started whenever there are radiological infiltrates or if there is a suspicion of pneumonia. We undertook this study t...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001259

    authors: Samraj RS,Crotty EJ,Wheeler DS

    更新日期:2019-10-01 00:00:00

  • Changing epidemiology of injury-related pediatric mortality in a rural state: implications for injury control.

    abstract:STUDY OBJECTIVE:To document the current epidemiology of pediatric injury-related deaths in a rural state and evaluate changes over time. DESIGN:Retrospective review of injury-related deaths in children less than 15 years of age. Data were obtained from death certificates and coroner, autopsy, prehospital, and hospital...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-199812000-00002

    authors: Rausch TK,Sanddal ND,Sanddal TL,Esposito TJ

    更新日期:1998-12-01 00:00:00

  • Pediatric Bilateral Facial Paralysis: An Unusual Presentation of Lyme Disease.

    abstract::Pediatric bilateral facial nerve paralysis (FNP) is a rare condition, representing less than 2% of all cases of FNP. The differential diagnosis of FNP is extensive (ranging from infectious, traumatic, neurologic, to idiopathic) and often can present as a diagnostic challenge. In contrast to unilateral presentation, bi...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001648

    authors: Wong K,Sequeira S,Bechtel K

    更新日期:2020-11-01 00:00:00

  • A systematic review and meta-analysis of new interventions for peripheral intravenous cannulation of children.

    abstract:OBJECTIVE:Establishing intravenous access in children is often challenging for health professionals. Multiple attempts at peripheral intravenous cannulation (PIVC) cause increased pain and delayed delivery of therapy. Our objective was to synthesize and evaluate the best evidence for novel interventions designed to imp...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章,meta分析,评审

    doi:10.1097/PEC.0b013e3182999bcd

    authors: Heinrichs J,Fritze Z,Klassen T,Curtis S

    更新日期:2013-07-01 00:00:00

  • Pediatric pre-hospital advanced life support care in an urban setting.

    abstract:OBJECTIVE:To describe pediatric advanced life support (PALS) in a single urban environment and clarify educational priorities for ALS pre-hospital providers and pediatric medical control physicians. METHODS:Retrospective observational review of all pediatric pre-hospital PALS transport and medical control records of t...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-200102000-00002

    authors: Babl FE,Vinci RJ,Bauchner H,Mottley L

    更新日期:2001-02-01 00:00:00

  • Occult Pneumothorax Identification on Extended Focused Assessment with Sonography for Trauma Examination in Children.

    abstract:OBJECTIVE:Occult pneumothoraces (OPTXs) are defined by air within the pleural space that is not visible on conventional chest radiographs (CXR). The aim of this study was to understand how frequently the Extended Focused Assessment with Sonography for Trauma (eFAST) examination identifies occult PTX in a pediatric blun...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000002303

    authors: Malek D,Santillanes G,Hsiao V,Mailhot T,Claudius I

    更新日期:2020-12-01 00:00:00

  • Negative-pressure pulmonary edema: a rare complication of upper airway obstruction in children.

    abstract:UNLABELLED:Negative-pressure pulmonary edema is a rare but life-threatening complication of upper airway obstruction. Because negative-pressure pulmonary edema may occur in a large spectrum of pathologies associated with upper airway obstruction, awareness of this condition is crucial during daily clinical practice. We...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/01.pec.0000186430.92388.a6

    authors: Silva PS,Monteiro Neto H,Andrade MM,Neves CV

    更新日期:2005-11-01 00:00:00

  • Anti-N-Methyl-D-Aspartate Receptor Encephalitis: A Challenging Diagnosis in the Emergency Department.

    abstract::Anti-N-methyl-D-aspartate receptor (NMDAR) encephalitis is an underdiagnosed disease that has been described thus far only in case series. Patients, the majority of which are females, develop neuropsychiatric symptoms that can often be misdiagnosed as purely psychiatric illness. Although teratomas are nearly pathognom...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0000000000001853

    authors: Zhao B,Nelson DG

    更新日期:2019-09-01 00:00:00

  • Response to child abuse in the pediatric emergency department: need for continued education.

    abstract:BACKGROUND:Child abuse is a leading pediatric public health problem. Pediatric emergency physicians are on the front line to identify and respond to child abuse. The physician's response to suspected child abuse cases is influenced by educational content and experience. OBJECTIVE:To determine pediatric emergency medic...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-199912000-00002

    authors: Wright RJ,Wright RO,Farnan L,Isaac NE

    更新日期:1999-12-01 00:00:00

  • Oncology and transport. Beware of the presentation and anticipate the clinical course.

    abstract::These cases demonstrate a few of the presentations that may occur with new onset oncologic problems. While the transport phase of these children's care was not extraordinary, the development and management of the clinical issues might have been influenced by earlier interventions. Would the outcome of Case 1 have been...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-199612000-00019

    authors: Moore KJ,Needle MN

    更新日期:1996-12-01 00:00:00

  • Pediatric pyogenic liver abscess.

    abstract::Pyogenic liver abscess (PLA) is a rare pediatric disease. Typically, PLA is found in adults with biliary disease. There are no typical physical findings or symptoms. Often, pathogenic organisms are not recovered for identification. This case illustrates a teenager presenting with prolonged episodes of fever and vomiti...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e318196fa9b

    authors: Israeli R,Jule JE,Hom J

    更新日期:2009-02-01 00:00:00

  • Ceftriaxone use in the emergency department: are we doing it right?

    abstract:OBJECTIVE:To evaluate the patterns of ceftriaxone use in an urban pediatric emergency department (PED) and to determine if overuse exists based on published guidelines for management of febrile infants. METHODS:We conducted a retrospective study of 229 young febrile patients who received ceftriaxone between January 1 ...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/00006565-200208000-00007

    authors: Jain S,Sullivan K

    更新日期:2002-08-01 00:00:00

  • Deep vein thrombosis and septic pulmonary emboli with MRSA osteomyelitis in a pediatric patient.

    abstract::Deep vein thrombosis (DVT) and pulmonary embolism (PE) are relatively rare occurrences in the pediatric population. However, DVT and PE are associated with significant morbidity and mortality to the patient if not promptly diagnosed and treated. We describe the case of a 5-year-old boy that was diagnosed in our emerge...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e318267ea4e

    authors: Schaub RL,Rodkey ML

    更新日期:2012-09-01 00:00:00

  • Spontaneous pneumorrhachis.

    abstract::Pneumomediastinum is a relatively uncommon occurrence in pediatric patients. After mediastinal air leak, air may dissect through a variety of tissue planes within the chest, neck, and abdomen. We report the case of a 16-year-old adolescent boy who presented with spontaneous pneumomediastinum accompanied by the presenc...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e31828a38ad

    authors: Carolan PL,Wright SL,Jha V

    更新日期:2013-04-01 00:00:00

  • Effectiveness of intramuscular penicillin versus oral amoxicillin in the early treatment of outpatient pediatric pneumonia.

    abstract:OBJECTIVE:To determine if intramuscular (IM) penicillin is more effective than oral (PO) amoxicillin in the early outpatient treatment of pediatric patients with presumed bacterial pneumonia. METHODS:Prospective, randomized, evaluator-blinded, clinical trial. SETTING:Pediatric emergency department (ED) of an urban ch...

    journal_title:Pediatric emergency care

    pub_type: 临床试验,杂志文章,随机对照试验

    doi:

    authors: Tsarouhas N,Shaw KN,Hodinka RL,Bell LM

    更新日期:1998-10-01 00:00:00

  • Children in methamphetamine homes: a survey of physicians practicing in southeast Tennessee.

    abstract:OBJECTIVES:Methamphetamine (meth) abuse in the rural South has increased greatly in the last decade. This addiction harms meth abusers and producers and endangers children who live with them. Appropriate medical evaluation and treatment of these exposed children are largely undefined. The objective of this research was...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3181558d72

    authors: Bratcher L,Clayton EW,Greeley C

    更新日期:2007-10-01 00:00:00

  • Current variability of clinical practice management of pediatric diabetic ketoacidosis in Illinois pediatric emergency departments.

    abstract:OBJECTIVE:This study aimed to investigate the management of pediatric patients with diabetic ketoacidosis (DKA) presenting to emergency departments (EDs) participating in the Illinois Emergency Medical Services for Children (EMSC) Facility Recognition program. METHODS:In 2010, Illinois EMSC conducted a survey (includi...

    journal_title:Pediatric emergency care

    pub_type: 杂志文章

    doi:10.1097/PEC.0b013e3182768bfc

    authors: Barrios EK,Hageman J,Lyons E,Janies K,Leonard D,Duck S,Fuchs S

    更新日期:2012-12-01 00:00:00