Visual function scale for identification of infants with low respiratory compliance

Abstract

Aim: Precise estimation of respiratory function is essential to optimise neonatal respiratory care. However, current clinical scores have not been validated with quantitative measures of respiratory function. The aim of this study was to develop a physiological scoring system to predict low respiratory dynamic compliance of <0.6 ml/cmH 2 O/kg. Methods: Forty-four newborn infants were studied before (dynamic compliance) and shortly after scheduled extubation (physiological signs). A novel scoring system was developed based on the association between physiological signs and dynamic compliance. Results: The respiratory rate was identified as the primary independent variable for dynamic compliance in the univariate analysis. The prediction score for low dynamic compliance comprised the presence of nasal flaring, see-saw respiration, suprasternal/intercostal retraction, and the respiratory rate ranks (0e3). The area under the receivereoperating characteristics curve of the composite score had discriminatory capability of 0.86 (95% confidence interval: 0.75e0.97) to predict low dynamic compliance with the optimal cut-off value of !3 (sensitivity, 0.882; specificity, 0.667).

Video-call based newborn triage system for local birth centres can be established without major instalment costs using commercially available smartphones

“…Objective explanation of newborns' condition to NICU is also difficult, occasionally leading to insufficient/excessive triage of newborns 27 . To make the video call-based triage more objective, we used a visual assessment tool for respiratory conditions 8 , and the combination of which led to relatively higher sensitivity and lower false-negative rates when predicting newborns with covert respiratory problems. A strategy, that simultaneously achieves the safety of newborns, reduces medical costs and prevents clinically unnecessary mother-newborn separation, might be established with further modifications of our system.…”

“…The second view focused on the newborn's chest/abdominal wall motion. To standardise the video-based triage, the neonatologists/paediatricians at St. Mary's Hospital attended at least one training session to learn the algorithm of the visual respiratory function assessment scale, which was originally developed to identify newborns with low dynamic respiratory compliance (<0.6 mL/cmH 2 O/kg) 8 . Mary's Hospital assessing the respiratory condition of a newborn infant using the video consultation system (photograph presented with permission of the individuals).…”

Comparison of Very Low Birth Weight Preterm Infants with And Without Experienced Target Weight Gain on The Administration of Human Milk Fortifier

“…25 High incidence of pneumonia in very low birth weight preterm infants also significantly increases chest retraction incidence in both groups. 26 Apnea of prematurity (AOP) is described as a cessation of breathing for 20 seconds or longer or a shorter pause accompanied by bradycardia <100 beats per minute, cyanosis, or pallor. 27 Oxygen and nutrient insufficiency should result in weight gain disorders thus affecting the weight of the baby.…”

Efektifitas Terapi Oksigen Terhadap Downes Score pada Pasien Asfiksia Neonatus di Ruang Perinatologi

“…Downes score lebih mudah digunakan oleh perawat dibandingkan dengan alat ukur lain seperti Silverman Anderson untuk memprediksi nilai PCO2 pada bayi dengan kegawatan pernafasan (Hedstrom et al, 2018) namun akurasi dan kecepatan Downes score lebih baik (A et al, 2016). Bahkan jika dibandingkan dengan alat ukur baru yang dikembangkan oleh Harada et al, (2019) untuk memprediksi pemenuhan pernafasan yang buruk pada bayi yaitu Visual Function Scale (VFS), Downes Score lebih mudah dan cepat dalam menentukan penanganan pasien. Penilaian keparahan pernafasan dengan Downes score dapat digunakan untuk menentukan pemberian terapi oksigen atau perawatan bayi pada level 1,2 atau 3 (John et al, 2015).…”