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Ioana Badiu Tisa

Latest posts by Ioana Badiu Tisa (see all)

  • EFICIENTA OXIGENOTERAPIEI PRIN IZOLETA LA SUGARUL CU INSUFICIENTA RESPIRATORIE ACUTA - 21/07/2015
  • EFFICIENCY OF OXYGEN THERAPY BY HEAD BOX FOR ACUTE RESPIRATORY FAILURE IN INFANTS - 21/07/2015

Articole semnate de acelasi autor in Revista Romana de Pediatrie:

EFICIENTA OXIGENOTERAPIEI PRIN IZOLETA LA SUGARUL CU INSUFICIENTA RESPIRATORIE ACUTA

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Revista Romana de PEDIATRIE | Volumul LXII, Nr. 4, An 2013
ISSN 1454-0398  |  e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

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EFICIENTA OXIGENOTERAPIEI PRIN IZOLETA LA SUGARUL CU INSUFICIENTA RESPIRATORIE ACUTA

Ioana Badiu Tisa, Angela Butnariu, Nicolae Miu, Gabriel Samasca and Sorana D. Bolboaca

REZUMAT

Oxigenoterapia este principala metoda de tratament în insuficienţa respiratorie acută la copil. Metoda administrării oxigenoterapiei cu izoleta la sugar reprezintă o metodă frecvent folosită în practica pediatrică.

Obiective. Evaluarea eficacităţii oxigenoterapiei administrate cu izoleta la sugarul cu insuficienţă respiratorie acută de cauză pneumogenă prin compararea a două metode de măsurare a saturaţiei în oxigen a hemoglobinei: din sânge capilar arterializat şi prin pulsoximetrie.

Material şi metodă. Au fost luaţi în studiu 30 de sugari, cu insuficienţă respiratorie acută de cauză pneumogenă. S-a utilizat un scor clinic de apreciere a insuficienţei respiratorii acute, care evaluează frecvenţa respiratorie, bătaia aripioarelor nazale, tiraj, cianoza, senzoriu, înainte şi după oxigenoterapie. Din sângele capilar arterializat s-a mă- surat presiunea parţială a oxigenului şi saturaţia în oxigen a hemoglobinei şi s-a citit cu analizorul Automatic Blood Gas System. Concomitent s-a măsurat şi saturaţia în oxigen a hemoglobinei utilizând puls oximetrul. Măsurătorile au fost efectuate înaintea iniţierii terapiei cu oxigen şi după 30 de minute şi 60 de minute de la iniţierea oxigenoterapiei.

Rezultate. Comparativ cu valorile bazale, înregistrate înaintea iniţierii oxigenoterapiei, s-a înregistrat ameliorarea semnificativă statistic a scorului clinic atât la 30 de minute cât şi la 60 de minute după instituirea terapiei cu oxigen (p < 0,001). Ameliorarea a fost mai amplă la 60 de minute. Presiunea parţială a oxigenului a avut un trend ascendent semnificativ statistic atât la determinarea la 30 de minute cât şi la 60 de minute (p < 0,001). Pentru ambele metode de măsurare ale SaO2 au fost înregistrate creşteri semnificative statistic (p < 0,001) ale acestei variabile după 30 respectiv 60 de minute.

Concluzii. Oxigenoterapia administrată cu izoleta ameliorează insuficienţa respiratorie acută evaluată prin scor clinic. Administrarea oxigenoterapiei cu izoleta la sugar creşte semnificativ valorile presiunii parţiale a oxigenului şi a saturaţiei în oxigen a hemoglobinei măsurată din sânge capilar, precum şi valorile saturaţiei în oxigen a he moglobinei determinate cu pulsoximetrul atât la 30 de minute, cât şi la 60 de minute. Creşterile celor trei parametri sunt mai ample la 60 de minute. Există o concordanţă semnificativă statistic între valorile saturaţiei în oxigen a hemoglobinei determinată din sânge capilar şi prin pulsoximetrie în toate determinările.

Cuvinte cheie: presiunea parţială a oxigenului, parametri Astrup, saturaţia în oxigen a hemoglobinei, pulsoximetria

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Ioana Badiu Tisa

EFFICIENCY OF OXYGEN THERAPY BY HEAD BOX FOR ACUTE RESPIRATORY FAILURE IN INFANTS

SELECT ISSUE

Revista Romana de PEDIATRIE | Volumul LXII, Nr. 4, An 2013
ISSN 1454-0398  |  e-ISSN 2069-6175
ISSN-L 1454-0398
DOI: 10.37897/RJP

Indexed

DOI - Crossref
Similarity Check by iThenticate, worldwide No 1 professional plagiarism checking system
DOAJ
NLM Catalog
Ebsco Host - Medline
Google Academic
Semantic Scholar

HIGHLIGHTS

ICMJE- Recommendations

Read the Recommendations for the Conduct, Reporting, Editing, and Publication of Scholarly work in Medical Journals.

Promoting Global Health

The published medical research literature is a global public good. Medical journal editors have a social responsibility to promote global health by publishing, whenever possible, research that furthers health worldwide.

EFFICIENCY OF OXYGEN THERAPY BY HEAD BOX FOR ACUTE RESPIRATORY FAILURE IN INFANTS

Ioana Badiu Tisa, Angela Butnariu, Nicolae Miu, Gabriel Samasca and Sorana D. Bolboaca

ABSTRACT

Oxygen therapy is the main treatment method for acute respiratory failure in children. The method consisting in the administration of oxygen therapy by head box to infants is frequently used in pediatric practice.

Objectives. To evaluate the efficiency of oxygen therapy administered by head box to infants suffering from pneumogenic acute respiratory failure by comparing two methods for measuring hemoglobin oxygen saturation: in arterialized capillary blood and by pulse oximetry.

Material and method. 30 infants suffering from pneumogenic acute respiratory failure were studied. We used a clinical appraisal score for acute respiratory failure, which appraises respiratory rate, nasal flaring, recession, cyanosis, sensorial, before and after oxygen therapy. In arterialized capillary blood we measured partial pressure of oxygen and hemoglobin oxygen saturation, and we used an Automatic Blood Gas System analyzer. We also measured hemoglobin oxygen saturation using a pulse oximeter. Determinations were made before the initiation of oxygen therapy, and 30 minutes and 60 minutes after the initiation of oxygen therapy.

Results. As compared to the baseline values, determined before the initiation of oxygen therapy, we recorded a statistically significant improvement in the clinical score both after 30 minutes and 60 minutes from the initiation of oxygen therapy (p<0.001). The improvement was greater after 60 minutes. The increase in the partial pressure of oxygen was statistically significant both at the 30 minute and 60 minute determination (p<0.001). Both methods of SaO2 measurement recorded statistically significant increases (p<0.001) in this variable after 30 and 60 minutes, respectively.

Conclusions. Oxygen therapy administered by head box improves acute respiratory failure appraised by clinical score. The administration of oxygen therapy by head box to infants significantly increases the values of partial pressure of oxygen and hemoglobin oxygen saturation measured in capillary blood, as well as the values of hemoglobin oxygen saturation determined by pulse oximeter both after 30 minutes and after 60 minutes. The increases in the three parameters are larger after 60 minutes. There is statistically significant concordance between the values of hemoglobin oxygen saturation determined in capillary blood and by pulse oximetry at all determinations.

Key words: partial pressure of oxygen, Astrup parameters, hemoglobin oxygen saturation, pulse oximetry

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Ioana Badiu Tisa


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