Pulsus paradoxus: An objective measure of severity in croup

American Journal of Respiratory and Critical Care Medicine

Volumn 157, Issue 1, 1998, Pages 331-334

  Steele, Dale W ^a,b   Santucci, Karen A ^a   Wright, Robert O ^a   Natarajan, Ranjini ^a   McQuillen, Kemedy K ^a   Jay, Gregory D ^a  

^a BROWN UNIVERSITY   (United States)

^b RHODE ISLAND HOSPITAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADRENALIN;

ADOLESCENT; AIRWAY OBSTRUCTION; ARTERIAL PRESSURE; ARTICLE; CHILD; CLINICAL ARTICLE; CROUP; DISEASE SEVERITY; FEMALE; FINGER BLOOD FLOW; HUMAN; MALE; PARADOXICAL PULSE; PLETHYSMOGRAPHY; PRIORITY JOURNAL; SYSTOLIC BLOOD PRESSURE; VASCULAR RESISTANCE;

EID: 0031940802     PISSN: 1073449X     EISSN: None     Source Type: Journal    
DOI: 10.1164/ajrccm.157.1.9701071     Document Type: Article

References (26)

1. McGregor, M. 1979. Pulsus paradoxus. N. Engl. J. Med. 301:480-482.
2. Rebuck, A., and L. Pengelly. 1973. Development of pulsus paradoxus in the presence of airways obstruction. N. Engl. J. Med. 288:66-69.
3. Sapira, J. D., and M. B. Kirkpatrick. 1983. On pulsus paradoxus. Southern Medical Journal 76:1163-1164.
4. Martin, J., J. Jardim, M. Sampson, and L. E. Engel. 1981. Factors influencing pulsus paradoxus in asthma. Chest 80:543-549.
5. Viola, A. R., R. J. M. Puy, and E. Goldman. 1990. Mechanisms of pulsus paradoxus in airway obstruction. J. Appl. Physiol. 68:1927-1931.
6. Steele, D. W., R. O. Wright, C. M. Lee, and G. D. Jay. 1995. Continuous non-invasive determination of pulsus paradoxus: a pilot study. Acad. Emerg. Med. 2:894-900.
7. Chapman, K. R., A. D. D'Urzo, M. N. Druck, and A. S. Rebuck. 1989. Cardiovascular response to acute airway obstruction and hypoxia. Am. Rev. Respir. Dis. 40:1222-1227.
8. Fanconi, S., R. Burger, H. Maurer, J. Uehlinger, D. Ghelfi, and C. Muhlemann. 1990. Transcutaneous carbon dioxide pressure for monitoring patients with severe croup. J. Pediatr. 117:701-705.
9. Doull, I. 1995. Corticosteroids in the management of croup (editorial). B.M.J. 311:1244.
10. Newth, C. J., H. Levison, and A. C. Bryan. 1972. The respiratory status of children with croup. J. Pediatr. 81:1068-1073.
11. Argent, A. C., and M. Klein. 1995. Pressure time index (PTI): a simple objective measure of airway obstruction in croup (abstract). Am. Rev. Respir. Dis. 151:A742.
12. Corkey, C. W., G. A. Barker, J. F. Edmonds, P. M. Mok, and C. J. Newth. 1981. Radiographic tracheal diameter measurements in acute infectious croup: an objective scoring system. Crit. Care Med. 9:587-590.
13. Hammer, J., C. J. L. Newth, and T. W. Deakers. 1995. Validation of the phase angle technique as an objective measure of upper airway obstruction. Pediatr. Pulmonol. 19:167-173.
14. Sivan, Y., T. W. Deakers, and C. J. L. Newth. 1990. Thoracoabdominal asynchrony in acute upper airway obstruction in small children. Am. Rev. Respir. Dis. 142:540-544.
15. Goldman, M. D., M. Mathieu, J. M. Montely, R. Goldberg, J. M. Fry, J. L. Bernard, and R. Sartene. 1994. Inspiratory fall in systolic pressure in normal and asthmatic subjects. Am. J. Respir. Crit. Care Med. 151: 743-750.
16. Wright, R. O., D. W. Steele, K. A. Santucci, R. Natarajan, and G. D. Jay. 1996. Continuous, noninvasive measurement of pulsus paradoxus in patients with acute asthma. Arch. Pediatr. Adolesc. Med. 150:914-918.
17. Westley, C. R., E. K. Cotton, and J. G. Brooks. 1978. Nebulized racemic epinephrine by IPPB for the treatment of croup. Am. J. Dis. Child. 132:484-487.
18. Parsons, G. H., and J. F. Green. 1978. Mechanisms of pulsus paradoxus in upper airway obstruction. J. Appl. Physiol. 45:598-603.
19. Shim, C., and M. H. Williams, Jr. 1978. Pulsus paradoxus in asthma. Lancet 1(8063):530-531.
20. Pearson, M. G., D. P. Spence, I. Ryland, and B. D. Harrison. 1993. Value of pulsus paradoxus in assessing acute severe asthma. B.M.J. 307:659.
21. Anene, O., K. L. Meert, H. Uy, P. Simpson, and A. P. Sarnaik. 1996. Dexamethasone for the prevention of post-extubation airway obstruction: a prospective, randomized, double-blind, placebo-controlled trial. Crit. Care Med. 4:1666-1669.
22. Manthous, C. A., J. B. Hall, A. Melmed, M. A. Caputo, J. Walter, J. M. Klocksieben, G. A. Schmidt, and L. A. Wood. 1995. Heliox improves pulsus paradoxus and peak expiratory flow in non-intubated patients with severe asthma. Am. J. Respir. Crit. Care Med. 151:310-314.
23. Kudukis, T. M., C. A. Manthous, G. A. Schmidt, J. B. Hall, and M. E. Wylam. 1997. Inhaled helium-oxygen revisited: effect of inhaled helium-oxygen during the treatment of status asthmaticus in children. J. Pediatr. 130:217-224.
24. Ryan, C. A. 1988. Detection of pulsus paradoxus by pulse oximetry (letter). Am. J. Dis. Child 142:481-482.
25. Kimura, T. 1995. Hemodynamics associated with sleep disorders in anesthetized dogs. Nippon Kyobu Shikkan Gakkai Zasshi 33:3-9.
26. Pitson, D. J., A. Sandell, R. van den Hout, and J. R. Stradling. 1995. Use of pulse transit time as a measure of inspiratory effort in patients with obstructive sleep apnea. Eur. Respir. J. 8:1669-1674.