By S. Ammani Prasad (auth.), S. Ammani Prasad, Juliette Hussey, Jo Campling (eds.)
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Extra info for Paediatric Respiratory Care: A guide for physiotherapists and health professionals
There is increased opacity in the right lower and mid zones, loss of the clear outline of the right hemidiaphragm and a proximal air bronchogram. Other rare causes Alveolar proteinosis Alveolar microlithiasis Lymphoma Sarcoidosis 30 Imaging the paediatric chest COLLAPSE Collapse means loss of lung volume and this may affect a lung, lobe or segment. Sa,b). If the volume loss is large there may also be mediastinal shift towards the affected side, elevation of the ipsilateral hemidiaphragm, ipsilateral rib crowding and alteration in hilar positon.
Effusions airways. and empyemas can be located, measured One of the disadvantages of conventional and drained under ultrasound control. radiographs is that it is difficult to adequately Because the ultrasound beam is strongly demonstrate all soft tissue and bony struc- reflected by the aerated lung, ultrasound is tures using the same exposure factors. Two less useful for assessing lung lesions unless major recent developments have attempted they are peripheral, lie against the chest wall to overcome these disadvantages.
Direct airway trauma, oedema or infection. Secondly, to protect the airway from aspiration in states of altered consciousness, where airway protective mechanisms may be lost or impaired. Thirdly, to facilitate pulmonary toilet and avoid airway obstruction when there is marked atelectasis and pulmonary infection - an inadequate cough might necessitate more direct access to the airways for suctioning. 45). In practice, establishing airway and respiratory support for the acutely ill child should be carried out by experienced staff, because such patients can deteriorate rapidly particularly at the time of inducing anaesthesia.